BREA MONTANEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107089

License Status

NOT RENEWED

Business

First Name

BREA

Last Name

MONTANEZ

Business Name

BREA MONTANEZ

Original Issue Date

06/06/1994

Effective Date

06/06/1994

Expiration Date

03/31/2000

City

PONTOON BEACH

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/21/2005