COREY JOSEPH FORTWENDEL - Pharmacist License in Indiana | # 049264126

COREY JOSEPH FORTWENDEL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049264126

License Status

NOT RENEWED

Business

N

First Name

COREY

Middle

JOSEPH

Last Name

FORTWENDEL

Business Name

COREY JOSEPH FORTWENDEL

Original Issue Date

04/06/2019

Effective Date

04/06/2019

Expiration Date

09/30/2020

State

IN

Ever Disciplined

N

LastModifiedDate

01/08/2021