MIRANDA ROSE FORTUNATO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049273825

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

ROSE

Last Name

FORTUNATO

Business Name

MIRANDA ROSE FORTUNATO

Original Issue Date

06/16/2020

Effective Date

01/19/2021

Expiration Date

05/31/2022

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

07/27/2022