DIANA S MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206821

License Status

NOT RENEWED

Business

First Name

DIANA

Middle

Last Name

MENDOZA

Prefix

Business Name

DIANA S MENDOZA

Original Issue Date

09/21/2011

Effective Date

03/04/2016

Expiration Date

03/31/2017

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

05/10/2017