CORINNE ELYCE MONTGOMERY Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162611

License Status

INACTIVE

Business

First Name

CORINNE

Middle

ELYCE

Last Name

MONTGOMERY

Business Name

CORINNE ELYCE MONTGOMERY

Original Issue Date

07/29/2005

Effective Date

01/23/2012

Expiration Date

03/31/2013

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

01/03/2013