KATHLEEN A PORTZEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056137

License Status

NOT RENEWED

Business

First Name

KATHLEEN A

Last Name

PORTZEN

Business Name

KATHLEEN A PORTZEN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ROUND LAKE PARK

State

Zip

60020

County

BOONE

Ever Disciplined

LastModifiedDate

10/17/2005