ALFRED PETER REPORTO JR Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062485

License Status

CANCELLED

Business

First Name

ALFRED PETER

Last Name

REPORTO JR

Business Name

ALFRED PETER REPORTO JR

Original Issue Date

11/01/1974

Effective Date

11/01/1974

Expiration Date

01/01/1997

City

DESPLAINES

State

Zip

60016

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2007