JACQUELINE MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144141

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Last Name

MENDOZA

Business Name

JACQUELINE MENDOZA

Original Issue Date

08/14/2002

Effective Date

08/14/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60630

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005