CARRIE LAVERNE PORTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158333

License Status

NOT RENEWED

Business

First Name

CARRIE

Middle

LAVERNE

Last Name

PORTER

Business Name

CARRIE LAVERNE PORTER

Original Issue Date

12/14/2004

Effective Date

05/29/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019