ANTIONETTE PIERCE PORTILLO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049265595

License Status

NOT RENEWED

Business

First Name

ANTIONETTE

Middle

PIERCE

Last Name

PORTILLO

Business Name

ANTIONETTE PIERCE PORTILLO

Original Issue Date

05/28/2019

Effective Date

05/28/2019

Expiration Date

09/30/2020

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

01/08/2021