ROBERT RAYMOND MENDRALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049067597

License Status

NOT RENEWED

Business

First Name

ROBERT RAYMOND

Last Name

MENDRALA

Business Name

ROBERT RAYMOND MENDRALA

Original Issue Date

06/24/1977

Effective Date

06/24/1977

Expiration Date

03/31/1984

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005