MODESTO S MENDOZA - Pharmacist License in Illinois | # 049081372

MODESTO S MENDOZA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081372

License Status

NOT RENEWED

Business

N

First Name

MODESTO S

Last Name

MENDOZA

Business Name

MODESTO S MENDOZA

Original Issue Date

07/23/1985

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008