TYLER J FORTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049222894

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

Last Name

FORTNER

Prefix

Business Name

TYLER J FORTNER

Original Issue Date

01/14/2014

Effective Date

04/01/2015

Expiration Date

03/31/2016

City

METAMORA

State

Zip

61548

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/20/2016