HENRY G FORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058697

License Status

NOT RENEWED

Business

First Name

HENRY G

Last Name

FORT

Business Name

HENRY G FORT

Original Issue Date

11/04/1972

Effective Date

11/04/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005