TIFFANY SHANELL PORCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241584

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

SHANELL

Last Name

PORCH

Business Name

TIFFANY SHANELL PORCH

Original Issue Date

05/02/2016

Effective Date

05/02/2016

Expiration Date

03/31/2017

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

05/10/2017