NICK PAUL MANTUCCA Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049317361

License Status

ACTIVE

Business

First Name

NICK

Middle

PAUL

Last Name

MANTUCCA

Business Name

NICK PAUL MANTUCCA

Original Issue Date

12/08/2024

Effective Date

02/14/2025

Expiration Date

03/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/30/2026