MATTHIEU C FORTIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215405

License Status

NOT RENEWED

Business

First Name

MATTHIEU

Middle

Last Name

FORTIN

Prefix

Business Name

MATTHIEU C FORTIN

Original Issue Date

01/09/2013

Effective Date

01/09/2013

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014