INGA ANGELET FORTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120915

License Status

NOT RENEWED

Business

First Name

INGA

Middle

ANGELET

Last Name

FORTSON

Business Name

INGA ANGELET FORTSON

Original Issue Date

05/06/1998

Effective Date

02/26/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010