CAREY MARK PORTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055245

License Status

NOT RENEWED

Business

First Name

CAREY MARK

Last Name

PORTMAN

Business Name

CAREY MARK PORTMAN

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005