GAIL R FORTMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102717

License Status

NOT RENEWED

Business

First Name

GAIL R

Last Name

FORTMANN

Business Name

GAIL R FORTMANN

Original Issue Date

03/17/1993

Effective Date

03/17/1993

Expiration Date

03/31/1994

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005