ELIAS R MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105997

License Status

NOT RENEWED

Business

First Name

ELIAS R

Last Name

MENDOZA

Business Name

ELIAS R MENDOZA

Original Issue Date

02/17/1994

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

RANTOUL

State

Zip

61866

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/06/2009