JEFFREY D FORTMAN

Business Entity
ACTIVE

Veterinarian

LICENSED VETERINARIAN CONTROLLED SUBSTANCE

39*****56

ACTIVE

N

JEFFREY D

FORTMAN

JEFFREY D FORTMAN

02/09/1989

12/30/2024

01/31/2027

FLOSSMOOR

IL

60422

COOK

II III IV V

N

12/30/2024