SUSAN M PORTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049145540

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

PORTZ

Business Name

SUSAN M PORTZ

Original Issue Date

10/28/2002

Effective Date

03/31/2011

Expiration Date

03/31/2012

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012