MARY O REPORTO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064210

License Status

NOT RENEWED

Business

First Name

MARY O

Last Name

REPORTO

Business Name

MARY O REPORTO

Original Issue Date

09/19/1975

Effective Date

09/19/1975

Expiration Date

03/31/1986

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005