AMY E FORTUNE Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051297334

License Status

ACTIVE

Business

First Name

AMY

Middle

Last Name

FORTUNE

Business Name

AMY E FORTUNE

Original Issue Date

12/10/2013

Effective Date

03/16/2026

Expiration Date

03/31/2028

City

MONROE

State

Zip

48162

Ever Disciplined

LastModifiedDate

03/16/2026

Case Number

2013008220

Action

Reprimand

Discipline Start Date

11/20/2013

Discipline Reason

due to prior discipine by the state of Indiana for pre-signing DEA forms.