TIERRA L MONGOMERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222790

License Status

NOT RENEWED

Business

First Name

TIERRA

Middle

Last Name

MONGOMERY

Business Name

TIERRA L MONGOMERY

Original Issue Date

01/08/2014

Effective Date

02/11/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016