MICHAEL J MANATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152745

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

MANATA

Business Name

MICHAEL J MANATA

Original Issue Date

12/31/2003

Effective Date

12/31/2003

Expiration Date

03/31/2005

City

KENOSHA

State

Zip

53140

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/20/2005