KORTNIE P ANTIOHO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049205295

License Status

NOT RENEWED

Business

First Name

KORTNIE

Middle

Last Name

ANTIOHO

Business Name

KORTNIE P ANTIOHO

Original Issue Date

07/13/2011

Effective Date

07/13/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012