KATHLEEN SUSAN FORTSON - Pharmacist License in Illinois | # 049257165

KATHLEEN SUSAN FORTSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257165

License Status

NOT RENEWED

Business

N

First Name

KATHLEEN

Middle

SUSAN

Last Name

FORTSON

Business Name

KATHLEEN SUSAN FORTSON

Original Issue Date

03/30/2018

Effective Date

03/30/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019