BELEN S MONTILLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056296

License Status

NOT RENEWED

Business

First Name

BELEN S

Last Name

MONTILLA

Business Name

BELEN S MONTILLA

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60622

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005