ALYSSA MONTGOMERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261250

License Status

NOT RENEWED

Business

First Name

ALYSSA

Last Name

MONTGOMERY

Business Name

ALYSSA MONTGOMERY

Original Issue Date

11/05/2018

Effective Date

02/25/2020

Expiration Date

03/31/2021

City

CASEYVILLE

State

Zip

62232

County

MADISON

Ever Disciplined

LastModifiedDate

07/20/2021