LAURA MARIE FORTADO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049125098

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

MARIE

Last Name

FORTADO

Business Name

LAURA MARIE FORTADO

Original Issue Date

03/24/1999

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

STAUNTON

State

Zip

62088

County

MACOUPIN

Ever Disciplined

LastModifiedDate

05/14/2007