JOSHUA CALEB MANDRELL MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126759

License Status

NOT RENEWED

Business

Title

First Name

JOSHUA

Middle

CALEB

Last Name

MANDRELL

Business Name

JOSHUA CALEB MANDRELL MD

Original Issue Date

07/22/1999

Effective Date

07/22/1999

Expiration Date

03/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005