KATHLEEN A MENGONI Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036949

License Status

INACTIVE

Business

First Name

KATHLEEN A

Last Name

MENGONI

Business Name

KATHLEEN A MENGONI

Original Issue Date

06/22/1988

Effective Date

06/22/1988

Expiration Date

03/31/1998

City

OVERLAND PARK

State

Zip

66213

County

KANSAS

Ever Disciplined

LastModifiedDate

10/17/2005