WILLIAM B FORTENBURY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051026875

License Status

NOT RENEWED

Business

First Name

WILLIAM B

Last Name

FORTENBURY

Business Name

WILLIAM B FORTENBURY

Original Issue Date

07/21/1966

Effective Date

07/21/1966

Expiration Date

03/31/1984

City

ST LOUIS

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005