PORCHE D FENTRESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049214250

License Status

NOT RENEWED

Business

First Name

PORCHE

Middle

Last Name

FENTRESS

Business Name

PORCHE D FENTRESS

Original Issue Date

10/25/2012

Effective Date

03/11/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015