JACQUELINE DIANE MONTAGUEO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152796

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

DIANE

Last Name

MONTAGUEO

Business Name

JACQUELINE DIANE MONTAGUEO

Original Issue Date

01/06/2004

Effective Date

01/05/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012