JAZMYNE ANAY FORTSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277887

License Status

NOT RENEWED

Business

First Name

JAZMYNE

Middle

ANAY

Last Name

FORTSON

Business Name

JAZMYNE ANAY FORTSON

Original Issue Date

12/10/2020

Effective Date

12/10/2020

Expiration Date

03/31/2021

City

PARK FOREST

State

Zip

60466

County

COOK

Ever Disciplined

LastModifiedDate

07/20/2021