DAVID J PORTILLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216002

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

PORTILLO

Prefix

Business Name

DAVID J PORTILLO

Original Issue Date

02/12/2013

Effective Date

02/12/2013

Expiration Date

03/31/2014

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014