PRISCILLA MAE MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122225

License Status

NOT RENEWED

Business

First Name

PRISCILLA

Middle

MAE

Last Name

MENDOZA

Business Name

PRISCILLA MAE MENDOZA

Original Issue Date

08/04/1998

Effective Date

07/26/2006

Expiration Date

03/31/2007

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/14/2007