LEAH THERESA U MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162211

License Status

NOT RENEWED

Business

First Name

LEAH THERESA

Middle

Last Name

MENDOZA

Business Name

LEAH THERESA U MENDOZA

Original Issue Date

07/13/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CRESTWOOD

State

Zip

60445

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008