DONTIA PORSCHE ALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162650

License Status

NOT RENEWED

Business

First Name

DONTIA

Middle

PORSCHE

Last Name

ALLEN

Business Name

DONTIA PORSCHE ALLEN

Original Issue Date

08/01/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

05/14/2007