DEBORAH JEAN FORTNER - Pharmacist License in Illinois | # 049100887

DEBORAH JEAN FORTNER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100887

License Status

NOT RENEWED

Business

N

First Name

DEBORAH JEAN

Last Name

FORTNER

Business Name

DEBORAH JEAN FORTNER

Original Issue Date

08/03/1992

Effective Date

08/03/1992

Expiration Date

03/31/1993

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005