BONNY DIANE PORTWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051286573

License Status

NOT RENEWED

Business

First Name

BONNY

Middle

DIANE

Last Name

PORTWOOD

Business Name

BONNY DIANE PORTWOOD

Original Issue Date

06/09/1998

Effective Date

06/09/1998

Expiration Date

03/31/2002

City

NAPERVILLE

State

Zip

60567

County

DUPAGE

Ever Disciplined

LastModifiedDate

12/06/2005