LUCIA PORTALATIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145413

License Status

NOT RENEWED

Business

First Name

LUCIA

Last Name

PORTALATIN

Business Name

LUCIA PORTALATIN

Original Issue Date

10/18/2002

Effective Date

04/02/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60641

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019