JOEL C FORTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162311

License Status

NOT RENEWED

Business

First Name

JOEL

Middle

Last Name

FORTNER

Business Name

JOEL C FORTNER

Original Issue Date

07/15/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/14/2007