PAIGE KATHERINE MOMBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049248196

License Status

NOT RENEWED

Business

First Name

PAIGE

Middle

KATHERINE

Last Name

MOMBERG

Business Name

PAIGE KATHERINE MOMBERG

Original Issue Date

02/01/2017

Effective Date

01/12/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60640

County

ADAMS

Ever Disciplined

LastModifiedDate

07/15/2019