JACQUELINE S FORTIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049163429

License Status

NOT RENEWED

Business

First Name

JACQUELINE

Middle

Last Name

FORTIER

Business Name

JACQUELINE S FORTIER

Original Issue Date

09/01/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ELBURN

State

Zip

60119

County

KANE

Ever Disciplined

LastModifiedDate

05/14/2007