MICHELLE MENDOZA GILLIAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139542

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

MENDOZA

Last Name

GILLIAM

Business Name

MICHELLE MENDOZA GILLIAM

Original Issue Date

12/07/2001

Effective Date

12/07/2001

Expiration Date

03/31/2005

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005