MARY A FORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092600

License Status

NOT RENEWED

Business

First Name

MARY A

Last Name

FORT

Business Name

MARY A FORT

Original Issue Date

03/20/1990

Effective Date

03/20/1990

Expiration Date

03/31/1991

City

WAUKEGAN

State

Zip

60087

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005