MADONNA ST. PIERRE LAMONT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197063

License Status

INACTIVE

Business

First Name

MADONNA

Middle

ST. PIERRE

Last Name

LAMONT

Business Name

MADONNA ST. PIERRE LAMONT

Original Issue Date

03/02/2010

Effective Date

04/01/2013

Expiration Date

03/31/2014

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/09/2014