KRISTIN M PORTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049108323

License Status

NOT RENEWED

Business

First Name

KRISTIN M

Last Name

PORTER

Business Name

KRISTIN M PORTER

Original Issue Date

09/28/1994

Effective Date

09/28/1994

Expiration Date

03/31/1995

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005