BLANCO L MONTENEGRO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089749

License Status

NOT RENEWED

Business

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

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005