FONTAYNE SHAEYONNA PORTER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049296972

License Status

NOT RENEWED

Business

First Name

FONTAYNE

Middle

SHAEYONNA

Last Name

PORTER

Business Name

FONTAYNE SHAEYONNA PORTER

Original Issue Date

10/22/2022

Effective Date

10/22/2022

Expiration Date

03/31/2023

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

09/07/2023