MARIA FORTES DELOTELLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180909

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

FORTES

Last Name

DELOTELLE

Business Name

MARIA FORTES DELOTELLE

Original Issue Date

12/04/2007

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

COTTAGE HILLS

State

Zip

62018

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2009