ALTESSE MANDAMUNA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049310642

License Status

NOT RENEWED

Business

First Name

ALTESSE

Last Name

MANDAMUNA

Business Name

ALTESSE MANDAMUNA

Original Issue Date

03/22/2024

Effective Date

03/22/2024

Expiration Date

03/31/2025

City

CHAMPAIGN

State

Zip

61822

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/08/2025