DAVID S MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189422

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

MENDOZA

Prefix

Business Name

DAVID S MENDOZA

Original Issue Date

02/01/2009

Effective Date

02/01/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010