DELISA RENEE MONTGOMERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134574

License Status

NOT RENEWED

Business

First Name

DELISA

Middle

RENEE

Last Name

MONTGOMERY

Business Name

DELISA RENEE MONTGOMERY

Original Issue Date

02/21/2001

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007