DAPHNE CATHLEEN PORTWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263610

License Status

NOT RENEWED

Business

First Name

DAPHNE

Middle

CATHLEEN

Last Name

PORTWOOD

Business Name

DAPHNE CATHLEEN PORTWOOD

Original Issue Date

02/28/2019

Effective Date

03/16/2020

Expiration Date

03/31/2021

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

07/20/2021