ANTHONY R MENDOZA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155770

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

MENDOZA

Business Name

ANTHONY R MENDOZA

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

03/31/2006

City

DYER

State

Zip

46311

County

INDIANA

Ever Disciplined

LastModifiedDate

05/11/2006