JAN MICHAEL A MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165311

License Status

NOT RENEWED

Business

First Name

JAN MICHAEL

Middle

Last Name

MENDOZA

Business Name

JAN MICHAEL A MENDOZA

Original Issue Date

12/01/2005

Effective Date

12/01/2005

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006