JETTE A'PORTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049094863

License Status

NOT RENEWED

Business

First Name

JETTE

Last Name

A'PORTA

Business Name

JETTE A'PORTA

Original Issue Date

10/23/1990

Effective Date

10/23/1990

Expiration Date

03/31/1995

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005