ERNESTINA MICHELLE MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271068

License Status

NOT RENEWED

Business

First Name

ERNESTINA

Middle

MICHELLE

Last Name

MENDOZA

Business Name

ERNESTINA MICHELLE MENDOZA

Original Issue Date

02/20/2020

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

TOLUCA

State

Zip

61369

County

MARSHALL

Ever Disciplined

LastModifiedDate

07/27/2022