CARISSA E MANCUSO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289182

License Status

NOT RENEWED

Business

First Name

CARISSA

Middle

Last Name

MANCUSO

Business Name

CARISSA E MANCUSO

Original Issue Date

10/21/2002

Effective Date

03/04/2014

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016