PORCHA TAMERA MALLETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049268348

License Status

NOT RENEWED

Business

First Name

PORCHA

Middle

TAMERA

Last Name

MALLETTE

Business Name

PORCHA TAMERA MALLETTE

Original Issue Date

10/09/2019

Effective Date

10/09/2019

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

01/08/2021