MARY ANN PORTWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084514

License Status

NOT RENEWED

Business

First Name

MARY ANN

Last Name

PORTWOOD

Business Name

MARY ANN PORTWOOD

Original Issue Date

06/01/1987

Effective Date

06/01/1987

Expiration Date

03/31/1997

City

SULLIVAN

State

Zip

61951

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/17/2005