JILL M DEPORTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099171

License Status

NOT RENEWED

Business

First Name

JILL M

Last Name

DEPORTER

Business Name

JILL M DEPORTER

Original Issue Date

01/22/1992

Effective Date

01/22/1992

Expiration Date

03/31/1995

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005