JOSEPH W FORTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203918

License Status

NOT RENEWED

Business

First Name

JOSEPH W

Last Name

FORTNER

Business Name

JOSEPH W FORTNER

Original Issue Date

04/29/2011

Effective Date

04/29/2011

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012