CAROLYN DIANE FOURTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073225

License Status

NOT RENEWED

Business

First Name

CAROLYN DIANE

Last Name

FOURTE

Business Name

CAROLYN DIANE FOURTE

Original Issue Date

07/03/1980

Effective Date

07/03/1980

Expiration Date

03/31/1987

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005