IVANA MICHELLE PORTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049244414

License Status

NOT RENEWED

Business

First Name

IVANA

Middle

MICHELLE

Last Name

PORTIS

Business Name

IVANA MICHELLE PORTIS

Original Issue Date

09/01/2016

Effective Date

03/13/2017

Expiration Date

03/31/2018

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

06/19/2018