ROMAN C FORTHAUS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049217955

License Status

NOT RENEWED

Business

First Name

ROMAN

Middle

Last Name

FORTHAUS

Prefix

Business Name

ROMAN C FORTHAUS

Original Issue Date

05/16/2013

Effective Date

05/16/2013

Expiration Date

03/31/2014

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014