CHAD M MENTELE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290419

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

MENTELE

Business Name

CHAD M MENTELE

Original Issue Date

04/13/2005

Effective Date

01/18/2006

Expiration Date

03/31/2008

City

DAVENPORT

State

Zip

52807

County

IOWA

Ever Disciplined

LastModifiedDate

05/02/2008