JESSICA ROSE FORTNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277169

License Status

NOT RENEWED

Business

First Name

JESSICA

Middle

ROSE

Last Name

FORTNER

Business Name

JESSICA ROSE FORTNER

Original Issue Date

11/04/2020

Effective Date

11/04/2020

Expiration Date

03/31/2021

City

WESTVILLE

State

Zip

61883

County

VERMILION

Ever Disciplined

LastModifiedDate

07/20/2021