JACK W PORTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049095120

License Status

NOT RENEWED

Business

First Name

JACK W

Last Name

PORTER

Business Name

JACK W PORTER

Original Issue Date

11/16/1990

Effective Date

11/16/1990

Expiration Date

03/31/1994

City

CICERO

State

Zip

60650

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005