STACEY B MENDEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159710

License Status

NOT RENEWED

Business

First Name

STACEY

Middle

Last Name

MENDEZ

Business Name

STACEY B MENDEZ

Original Issue Date

03/28/2005

Effective Date

03/28/2005

Expiration Date

03/31/2006

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006