DIANE M MENDRALA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156380

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

Last Name

MENDRALA

Business Name

DIANE M MENDRALA

Original Issue Date

08/03/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

05/02/2008