KATHLEEN SUSAN FORTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049257165

License Status

NOT RENEWED

Business

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

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

07/15/2019