JACQUELINE MAY MONTEFRIO TUALLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249501

License Status

NOT RENEWED

Business

First Name

JACQUELINE MAY

Middle

MONTEFRIO

Last Name

TUALLA

Business Name

JACQUELINE MAY MONTEFRIO TUALLA

Original Issue Date

03/30/2017

Effective Date

02/13/2018

Expiration Date

03/31/2019

City

SCHERERVILLE

State

Zip

46375

Ever Disciplined

LastModifiedDate

07/15/2019