DAISY MENTADO - Pharmacist License in Illinois | # 049158382

DAISY MENTADO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158382

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011