MARTIN PORTILLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136507

License Status

NOT RENEWED

Business

First Name

MARTIN

Last Name

PORTILLO

Business Name

MARTIN PORTILLO

Original Issue Date

05/31/2001

Effective Date

05/31/2001

Expiration Date

03/31/2005

City

HANOVER PARK

State

Zip

60133

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005