COREY JOSEPH FORTWENDEL Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051302236

License Status

ACTIVE

Business

First Name

COREY

Middle

JOSEPH

Last Name

FORTWENDEL

Business Name

COREY JOSEPH FORTWENDEL

Original Issue Date

07/22/2019

Effective Date

03/05/2026

Expiration Date

03/31/2028

City

EVANSTON

State

Zip

47531

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/05/2026