THOMAS C FORTMANN - Pharmacist License in Illinois | # 049196233

THOMAS C FORTMANN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196233

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

C

Last Name

FORTMANN

Business Name

THOMAS C FORTMANN

Original Issue Date

01/14/2010

Effective Date

01/27/2014

Expiration Date

03/31/2015

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015