PHYLLIS H MONTGOMERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159548

License Status

NOT RENEWED

Business

First Name

PHYLLIS

Middle

Last Name

MONTGOMERY

Business Name

PHYLLIS H MONTGOMERY

Original Issue Date

03/15/2005

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

BYRON

State

Zip

61010

County

OGLE

Ever Disciplined

LastModifiedDate

05/12/2011