CATHLEEN M FORTMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084013

License Status

NOT RENEWED

Business

First Name

CATHLEEN M

Last Name

FORTMANN

Business Name

CATHLEEN M FORTMANN

Original Issue Date

03/25/1987

Effective Date

03/06/2022

Expiration Date

03/31/2023

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

09/07/2023