LELAND A FOURTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077231

License Status

NOT RENEWED

Business

First Name

LELAND A

Last Name

FOURTE

Business Name

LELAND A FOURTE

Original Issue Date

10/31/1982

Effective Date

10/31/1982

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005