Mary Ann Fortae
ExpiredIllinois license 049073030
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049073030
- Status
- Expired (Not Renewed)
- First issued
- May 30, 1980
- Expired
- March 31, 1982
- License holder
- Mary Ann Fortae
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/30/1980
Contact
Collinsville, IL 62234
Madison County