ADAM REGINALDO MIRAMONTEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269147

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

REGINALDO

Last Name

MIRAMONTEZ

Business Name

ADAM REGINALDO MIRAMONTEZ

Original Issue Date

11/12/2019

Effective Date

11/12/2019

Expiration Date

09/30/2020

City

CAMPTON HILLS

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

01/08/2021