THOMAS C FORTMANN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196233

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

FORTMANN

Business Name

THOMAS C FORTMANN

Original Issue Date

01/14/2010

Effective Date

01/27/2014

Expiration Date

03/31/2015

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015