PORTIA L DUDLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049210496

License Status

NOT RENEWED

Business

First Name

PORTIA

Middle

Last Name

DUDLEY

Business Name

PORTIA L DUDLEY

Original Issue Date

04/21/2012

Effective Date

04/21/2012

Expiration Date

03/31/2013

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

05/06/2013