KAREN ELAINE FORTMEYER Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072992

License Status

CANCELLED

Business

First Name

KAREN ELAINE

Last Name

FORTMEYER

Business Name

KAREN ELAINE FORTMEYER

Original Issue Date

05/23/1980

Effective Date

05/23/1980

Expiration Date

03/31/1984

City

FARINA

State

Zip

62838

County

FAYETTE

Ever Disciplined

LastModifiedDate

10/17/2005