IVAR MONDRAGON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154312

License Status

NOT RENEWED

Business

First Name

IVAR

Last Name

MONDRAGON

Business Name

IVAR MONDRAGON

Original Issue Date

05/19/2004

Effective Date

08/18/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007