CARISSA E MANCUSO - Pharmacist License in Illinois | # 051289182

CARISSA E MANCUSO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289182

License Status

NOT RENEWED

Business

N

First Name

CARISSA

Middle

E

Last Name

MANCUSO

Business Name

CARISSA E MANCUSO

Original Issue Date

10/21/2002

Effective Date

03/04/2014

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016