DANIELLE N MANGRUM Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051298004

License Status

ACTIVE

Business

First Name

DANIELLE

Middle

Last Name

MANGRUM

Prefix

Business Name

DANIELLE N MANGRUM

Original Issue Date

09/03/2014

Effective Date

03/07/2026

Expiration Date

03/31/2028

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

03/07/2026