PORTSHA DEAMBRIAL CORTEZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196435

License Status

NOT RENEWED

Business

First Name

PORTSHA

Middle

DEAMBRIAL

Last Name

CORTEZ

Business Name

PORTSHA DEAMBRIAL CORTEZ

Original Issue Date

01/26/2010

Effective Date

01/26/2010

Expiration Date

03/31/2011

City

EAST SAINT LOUIS

State

Zip

62203

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/12/2011