ROMAN MENDOZA REYES Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208029

License Status

INACTIVE

Business

First Name

ROMAN

Middle

MENDOZA

Last Name

REYES

Business Name

ROMAN MENDOZA REYES

Original Issue Date

11/28/2011

Effective Date

03/13/2014

Expiration Date

03/31/2015

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

01/06/2015