JASON RYAN MANTEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204063

License Status

NOT RENEWED

Business

First Name

JASON

Middle

RYAN

Last Name

MANTEL

Business Name

JASON RYAN MANTEL

Original Issue Date

05/10/2011

Effective Date

05/10/2011

Expiration Date

03/31/2012

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

05/07/2012