GRACE CABILAN MONTGOMERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049286831

License Status

NOT RENEWED

Business

First Name

GRACE

Middle

CABILAN

Last Name

MONTGOMERY

Business Name

GRACE CABILAN MONTGOMERY

Original Issue Date

10/23/2021

Effective Date

10/23/2021

Expiration Date

05/31/2022

City

WELDON

State

Zip

61882

County

DE WITT

Ever Disciplined

LastModifiedDate

07/27/2022