ALAN DALE FORTNEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057322

License Status

NOT RENEWED

Business

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

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005