MIGUEL A MONDRAGON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214098

License Status

NOT RENEWED

Business

First Name

MIGUEL

Middle

Last Name

MONDRAGON

Prefix

Business Name

MIGUEL A MONDRAGON

Original Issue Date

10/17/2012

Effective Date

10/17/2012

Expiration Date

03/31/2013

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013