RAFAEL A MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269838

License Status

NOT RENEWED

Business

First Name

RAFAEL

Middle

Last Name

MENDOZA

Business Name

RAFAEL A MENDOZA

Original Issue Date

12/16/2019

Effective Date

12/16/2019

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021