GARY V MANTESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031441

License Status

NOT RENEWED

Business

First Name

GARY

Middle

Last Name

MANTESE

Business Name

GARY V MANTESE

Original Issue Date

04/07/1977

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

AUSTIN

State

Zip

78749

County

TEXAS

Ever Disciplined

LastModifiedDate

01/20/2009

Case Number

2006010661

Action

Suspension

Discipline Start Date

05/25/2006

Discipline Reason

Self-reported a relapse and disciplined in Texas, Missouri and Louisiana.