JASMINE M FORTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049236266

License Status

NOT RENEWED

Business

First Name

JASMINE

Middle

Last Name

FORTNER

Prefix

Business Name

JASMINE M FORTNER

Original Issue Date

09/18/2015

Effective Date

09/18/2015

Expiration Date

03/31/2016

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/20/2016