PERCY FORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076713

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005