KEVIN JAMES MONTAVON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061123

License Status

NOT RENEWED

Business

First Name

KEVIN JAMES

Last Name

MONTAVON

Business Name

KEVIN JAMES MONTAVON

Original Issue Date

03/15/1974

Effective Date

03/15/1974

Expiration Date

01/01/1997

City

MENDOTA

State

Zip

61342

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005