ALEXANDRA PORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222828

License Status

NOT RENEWED

Business

First Name

ALEXANDRA

Last Name

PORTH

Business Name

ALEXANDRA PORTH

Original Issue Date

01/09/2014

Effective Date

01/09/2014

Expiration Date

03/31/2015

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2015