DANIEL ROBERT PORCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073796

License Status

NOT RENEWED

Business

First Name

DANIEL ROBERT

Last Name

PORCH

Business Name

DANIEL ROBERT PORCH

Original Issue Date

10/24/1980

Effective Date

10/24/1980

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005