MARY BETH MONTOYA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130418

License Status

NOT RENEWED

Business

First Name

MARY

Middle

BETH

Last Name

MONTOYA

Business Name

MARY BETH MONTOYA

Original Issue Date

04/06/2000

Effective Date

03/13/2017

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018