MONICA G FORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049147374

License Status

NOT RENEWED

Business

First Name

MONICA

Middle

Last Name

FORT

Business Name

MONICA G FORT

Original Issue Date

03/11/2003

Effective Date

03/23/2009

Expiration Date

03/31/2010

City

HANNA CITY

State

Zip

61536

County

PEORIA

Ever Disciplined

LastModifiedDate

05/04/2010