SAMANTHA J MENDOZA - Pharmacist License in Illinois | # 049172912

SAMANTHA J MENDOZA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049172912

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

J

Last Name

MENDOZA

Business Name

SAMANTHA J MENDOZA

Original Issue Date

12/04/2006

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008