CAROLYN DIANE FOURTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049089622

License Status

NOT RENEWED

Business

First Name

CAROLYN DIANE

Last Name

FOURTE

Business Name

CAROLYN DIANE FOURTE

Original Issue Date

04/18/1989

Effective Date

04/18/1989

Expiration Date

03/31/1993

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005