NICOLE M MONTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182132

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

Last Name

MONTIS

Prefix

Business Name

NICOLE M MONTIS

Original Issue Date

02/11/2008

Effective Date

02/11/2008

Expiration Date

03/31/2009

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2009