MICHAEL PATRICK M MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049135704

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

PATRICK M

Last Name

MENDOZA

Business Name

MICHAEL PATRICK M MENDOZA

Original Issue Date

04/09/2001

Effective Date

03/16/2016

Expiration Date

03/31/2017

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017