DEBORAH JEAN FORTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049100887

License Status

NOT RENEWED

Business

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

City

TOWER HILL

State

Zip

62571

County

SHELBY

Ever Disciplined

LastModifiedDate

10/17/2005