ERIC W FORTMAN - Pharmacist License in Illinois | # 049078550

ERIC W FORTMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049078550

License Status

NOT RENEWED

Business

N

First Name

ERIC W

Last Name

FORTMAN

Business Name

ERIC W FORTMAN

Original Issue Date

07/08/1983

Effective Date

07/08/1983

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005