DIANE LYNN PORTO Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117682

License Status

INACTIVE

Business

First Name

DIANE

Middle

LYNN

Last Name

PORTO

Business Name

DIANE LYNN PORTO

Original Issue Date

05/23/1997

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

LAKE VILLA

State

Zip

60046

County

LAKE

Ever Disciplined

LastModifiedDate

01/10/2008