VIRGINIA FAYE MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100385

License Status

NOT RENEWED

Business

First Name

VIRGINIA

Middle

FAYE

Last Name

MENDOZA

Business Name

VIRGINIA FAYE MENDOZA

Original Issue Date

06/11/1992

Effective Date

06/11/1992

Expiration Date

03/31/2000

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005