EDWARD C PORTILLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176810

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

PORTILLO

Prefix

Business Name

EDWARD C PORTILLO

Original Issue Date

06/05/2007

Effective Date

02/18/2016

Expiration Date

03/31/2017

City

CHERRY VALLEY

State

Zip

61016

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017