JACQUELINE MENDOZA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051288428

License Status

INACTIVE

Business

First Name

JACQUELINE

Last Name

MENDOZA

Business Name

JACQUELINE MENDOZA

Original Issue Date

08/22/2001

Effective Date

03/31/2004

Expiration Date

03/31/2006

City

SAN JOSE

State

Zip

95120

Ever Disciplined

LastModifiedDate

01/18/2006