DONNA CARLENE FORTIN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049232551

License Status

ACTIVE

Business

First Name

DONNA

Middle

CARLENE

Last Name

FORTIN

Business Name

DONNA CARLENE FORTIN

Original Issue Date

04/23/2015

Effective Date

02/02/2026

Expiration Date

03/31/2027

City

SALEM

State

Zip

53168

Ever Disciplined

LastModifiedDate

02/02/2026