PORNTIWA MITCHELL - Pharmacist License in Illinois | # 049206743

PORNTIWA MITCHELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206743

License Status

NOT RENEWED

Business

N

First Name

PORNTIWA

Last Name

MITCHELL

Prefix

MR

Business Name

PORNTIWA MITCHELL

Original Issue Date

09/17/2011

Effective Date

02/15/2018

Expiration Date

03/31/2019

City

WESTMONT

State

IL

Zip

60559

County

DUPAGE

Ever Disciplined

N

LastModifiedDate

07/15/2019