ALFRED PETER REPORTO JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051032345

License Status

NOT RENEWED

Business

First Name

ALFRED PETER

Last Name

REPORTO JR

Business Name

ALFRED PETER REPORTO JR

Original Issue Date

08/17/1978

Effective Date

02/18/2020

Expiration Date

07/31/2022

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/14/2022