TINA M MENDENHALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257680

License Status

NOT RENEWED

Business

First Name

TINA M

Last Name

MENDENHALL

Business Name

TINA M MENDENHALL

Original Issue Date

04/30/2018

Effective Date

02/13/2020

Expiration Date

03/31/2021

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

07/20/2021