DAINEIRA ANTIGONE MANGUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049302454

License Status

NOT RENEWED

Business

First Name

DAINEIRA

Middle

ANTIGONE

Last Name

MANGUM

Business Name

DAINEIRA ANTIGONE MANGUM

Original Issue Date

05/16/2023

Effective Date

05/16/2023

Expiration Date

03/31/2024

City

BOLINGBROOK

State

Zip

60440

County

WILL

Ever Disciplined

LastModifiedDate

01/03/2025