VIVIAN MONTELL WILLINGHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049127711

License Status

NOT RENEWED

Business

First Name

VIVIAN

Middle

MONTELL

Last Name

WILLINGHAM

Business Name

VIVIAN MONTELL WILLINGHAM

Original Issue Date

09/28/1999

Effective Date

09/28/1999

Expiration Date

03/31/2002

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

12/06/2005