VANESSA DIANE FORTIER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199886

License Status

NOT RENEWED

Business

First Name

VANESSA

Middle

DIANE

Last Name

FORTIER

Business Name

VANESSA DIANE FORTIER

Original Issue Date

08/11/2010

Effective Date

03/08/2013

Expiration Date

03/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2014