MIRIAH RUBY MENTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049262739

License Status

NOT RENEWED

Business

First Name

MIRIAH

Middle

RUBY

Last Name

MENTE

Business Name

MIRIAH RUBY MENTE

Original Issue Date

01/25/2019

Effective Date

01/04/2020

Expiration Date

03/31/2021

City

MACHESNEY PARK

State

Zip

61115

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021