DAISY MENTADO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158382

License Status

NOT RENEWED

Business

First Name

DAISY

Last Name

MENTADO

Business Name

DAISY MENTADO

Original Issue Date

12/15/2004

Effective Date

04/02/2010

Expiration Date

03/31/2011

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

05/12/2011