MARY CLAIRE BORTA - Pharmacist License in Illinois | # 049130865

MARY CLAIRE BORTA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130865

License Status

NOT RENEWED

Business

N

First Name

MARY

Middle

CLAIRE

Last Name

BORTA

Business Name

MARY CLAIRE BORTA

Original Issue Date

05/19/2000

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008