JENNIE KYLE PORRAS GUANZON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049281833

License Status

NOT RENEWED

Business

First Name

JENNIE KYLE

Middle

PORRAS

Last Name

GUANZON

Business Name

JENNIE KYLE PORRAS GUANZON

Original Issue Date

04/30/2021

Effective Date

03/16/2022

Expiration Date

03/31/2023

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

09/07/2023