MARY A FORT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051037797

License Status

INACTIVE

Business

First Name

MARY A

Last Name

FORT

Business Name

MARY A FORT

Original Issue Date

06/15/1990

Effective Date

06/15/1990

Expiration Date

03/31/2000

City

WADSWORTH

State

Zip

60083

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005