MONTAVIS J MIDDLETON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241250

License Status

NOT RENEWED

Business

First Name

MONTAVIS

Middle

Last Name

MIDDLETON

Prefix

Business Name

MONTAVIS J MIDDLETON

Original Issue Date

04/22/2016

Effective Date

02/26/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019