ALAN DALE FORTNEY - Pharmacist License in Illinois | # 049057322

ALAN DALE FORTNEY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057322

License Status

NOT RENEWED

Business

N

First Name

ALAN DALE

Last Name

FORTNEY

Business Name

ALAN DALE FORTNEY

Original Issue Date

02/02/1972

Effective Date

02/02/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005