PERCY FORT - Pharmacist License in Illinois | # 049076713

PERCY FORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076713

License Status

NOT RENEWED

Business

N

First Name

PERCY

Last Name

FORT

Business Name

PERCY FORT

Original Issue Date

07/06/1982

Effective Date

07/06/1982

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005