MAGDALENE ANN MONTGOMERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159742

License Status

NOT RENEWED

Business

First Name

MAGDALENE

Middle

ANN

Last Name

MONTGOMERY

Business Name

MAGDALENE ANN MONTGOMERY

Original Issue Date

03/29/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/02/2008