YESENIA E PORTILLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049218155

License Status

NOT RENEWED

Business

First Name

YESENIA

Middle

Last Name

PORTILLO

Business Name

YESENIA E PORTILLO

Original Issue Date

05/23/2013

Effective Date

03/10/2015

Expiration Date

03/31/2016

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/20/2016