DEBRA L FORTIN Pharmacist License verification

DEBRA L FORTIN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112628

License Status

NOT RENEWED

Business

First Name

DEBRA

Middle

Last Name

FORTIN

Business Name

DEBRA L FORTIN

Original Issue Date

11/28/1995

Effective Date

05/01/2014

Expiration Date

03/31/2015

City

PARK CITY

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

05/11/2015

Case Number

1997050971

Action

Suspension

Discipline Start Date

09/18/1998

Discipline End Date

01/24/2012

Discipline Reason

Allegedly altering a prescription for controlled substances by changing the number of allowable refulls from zero to ten, and allegedly having a subsatnce abuse problem.