CAROLINA MANGINI

Address:

PROVO, UT 84601

Status:

Active

Email:

raiza@healthcaredepotutah.com

Date:

08/26/2020

ButtomHolder

License Information

License TypeLicense NumberOriginal Issue DateStatusEffective Date Expiration Date
Non-Res Producer/Producer Firm357256808/26/2020Active08/26/202009/01/2023

Qual Information

Qualification TypeOriginal Issue DateStatusEffective Date
Health08/26/2020Active08/26/2020