JODI ARLENE MONTGOMERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049107151

License Status

NOT RENEWED

Business

First Name

JODI ARLENE

Last Name

MONTGOMERY

Business Name

JODI ARLENE MONTGOMERY

Original Issue Date

06/09/1994

Effective Date

06/09/1994

Expiration Date

03/31/1996

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005