CASSI PORTWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049269539

License Status

NOT RENEWED

Business

First Name

CASSI

Last Name

PORTWOOD

Business Name

CASSI PORTWOOD

Original Issue Date

11/25/2019

Effective Date

11/25/2019

Expiration Date

09/30/2020

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/08/2021