KANESHA C FORT - Pharmacist License in Illinois | # 049126409

KANESHA C FORT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126409

License Status

NOT RENEWED

Business

N

First Name

KANESHA

Middle

C

Last Name

FORT

Business Name

KANESHA C FORT

Original Issue Date

06/18/1999

Effective Date

03/18/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016