ALEXANDRIA E FORT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203036

License Status

NOT RENEWED

Business

First Name

ALEXANDRIA

Middle

Last Name

FORT

Prefix

Business Name

ALEXANDRIA E FORT

Original Issue Date

03/06/2011

Effective Date

03/06/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61109

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012