CARTER ETHAN MANGAN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049307696

License Status

ACTIVE

Business

First Name

CARTER

Middle

ETHAN

Last Name

MANGAN

Business Name

CARTER ETHAN MANGAN

Original Issue Date

11/15/2023

Effective Date

03/12/2026

Expiration Date

03/31/2027

City

RUTLAND

State

Zip

61358

County

LA SALLE

Ever Disciplined

LastModifiedDate

03/12/2026