DAYLEN FORTSON - Pharmacist License in Illinois | # 049288995

DAYLEN FORTSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288995

License Status

NOT RENEWED

Business

N

First Name

DAYLEN

Last Name

FORTSON

Business Name

DAYLEN FORTSON

Original Issue Date

12/20/2021

Effective Date

12/20/2021

Expiration Date

05/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

07/27/2022