MARY A FORT - Pharmacist License in Illinois | # 049092600

MARY A FORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092600

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005