JUDITH A FORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063920

License Status

NOT RENEWED

Business

First Name

JUDITH A

Last Name

FORT

Business Name

JUDITH A FORT

Original Issue Date

07/18/1975

Effective Date

07/18/1975

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005