KANESHA C FORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126409

License Status

NOT RENEWED

Business

First Name

KANESHA

Middle

Last Name

FORT

Business Name

KANESHA C FORT

Original Issue Date

06/18/1999

Effective Date

03/18/2015

Expiration Date

03/31/2016

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016