DEBORAH MONTAVON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049280504

License Status

NOT RENEWED

Business

First Name

DEBORAH

Last Name

MONTAVON

Business Name

DEBORAH MONTAVON

Original Issue Date

03/19/2021

Effective Date

03/19/2021

Expiration Date

05/31/2022

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/27/2022