BLANCO L MONTENEGRO - Pharmacist License in Illinois | # 049089749

BLANCO L MONTENEGRO

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089749

License Status

NOT RENEWED

Business

N

First Name

BLANCO L

Last Name

MONTENEGRO

Business Name

BLANCO L MONTENEGRO

Original Issue Date

04/25/1989

Effective Date

04/25/1989

Expiration Date

03/31/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005