MARK ANTHONY FORTES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295761

License Status

NOT RENEWED

Business

First Name

MARK

Middle

ANTHONY

Last Name

FORTES

Business Name

MARK ANTHONY FORTES

Original Issue Date

09/10/2022

Effective Date

09/10/2022

Expiration Date

03/31/2023

City

SCHENECTADY

State

Zip

12306

Ever Disciplined

LastModifiedDate

09/07/2023