JAMES D MENTINK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122614

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

Last Name

MENTINK

Business Name

JAMES D MENTINK

Original Issue Date

08/26/1998

Effective Date

08/26/1998

Expiration Date

03/31/2003

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/20/2005