KAREN LEE FORTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058941

License Status

NOT RENEWED

Business

First Name

KAREN LEE

Last Name

FORTIN

Business Name

KAREN LEE FORTIN

Original Issue Date

01/15/1973

Effective Date

01/15/1973

Expiration Date

01/01/1997

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005