Fontayne Shaeyonna Porter
ExpiredIllinois license 049296972
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049296972
- Status
- Expired (Not Renewed)
- First issued
- October 22, 2022
- Expired
- March 31, 2023
- License holder
- Fontayne Shaeyonna Porter
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 10/22/2022
Contact
Decatur, IL 62521
Macon County