PAULA L PORTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155159

License Status

NOT RENEWED

Business

First Name

PAULA

Middle

Last Name

PORTIS

Business Name

PAULA L PORTIS

Original Issue Date

06/15/2004

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

ELGIN

State

Zip

60120

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2009