Jan Eilene Piepe Fortner
ExpiredIllinois license 049066968
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049066968
- Status
- Expired (Not Renewed)
- First issued
- March 25, 1977
- Expired
- January 1, 1997
- License holder
- Jan Eilene Piepe Fortner
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/25/1977
Contact
Sterling, IL 61081
Whiteside County