BETTY JEAN FORTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049250301

License Status

NOT RENEWED

Business

First Name

BETTY

Middle

JEAN

Last Name

FORTSON

Business Name

BETTY JEAN FORTSON

Original Issue Date

05/02/2017

Effective Date

03/28/2018

Expiration Date

03/31/2019

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

07/15/2019