SHANITA L MONTGOMERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269436

License Status

NOT RENEWED

Business

First Name

SHANITA

Middle

Last Name

MONTGOMERY

Business Name

SHANITA L MONTGOMERY

Original Issue Date

11/22/2019

Effective Date

11/22/2019

Expiration Date

09/30/2020

City

WAUKEGAN

State

Zip

60085

Ever Disciplined

LastModifiedDate

01/08/2021