ERICA N MONTIEL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201643

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

MONTIEL

Business Name

ERICA N MONTIEL

Original Issue Date

11/22/2010

Effective Date

03/11/2015

Expiration Date

03/31/2016

City

PEORIA HEIGHTS

State

Zip

61616

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016