ALFRED MANTUANO III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131637

License Status

NOT RENEWED

Business

First Name

ALFRED

Last Name

MANTUANO

Suffix

III

Business Name

ALFRED MANTUANO III

Original Issue Date

07/17/2000

Effective Date

07/17/2000

Expiration Date

03/31/2005

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005