TERESA L MENDENALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092012

License Status

NOT RENEWED

Business

First Name

TERESA L

Middle

Last Name

MENDENALL

Business Name

TERESA L MENDENALL

Original Issue Date

01/12/1990

Effective Date

01/12/1990

Expiration Date

03/31/2004

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

10/20/2005