JAN EILENE PIEPE FORTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066968

License Status

NOT RENEWED

Business

First Name

JAN EILENE PIEPE

Last Name

FORTNER

Business Name

JAN EILENE PIEPE FORTNER

Original Issue Date

03/25/1977

Effective Date

03/25/1977

Expiration Date

01/01/1997

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

10/17/2005