EILEEN A MENA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059650

License Status

NOT RENEWED

Business

First Name

EILEEN A

Last Name

MENA

Business Name

EILEEN A MENA

Original Issue Date

06/15/1973

Effective Date

06/15/1973

Expiration Date

01/01/1997

City

E ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005