Eric W Fortman
ExpiredIllinois license 049078550
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049078550
- Status
- Expired (Not Renewed)
- First issued
- July 8, 1983
- Expired
- March 31, 2001
- License holder
- Eric W Fortman
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/08/1983
Contact
Vernon Hills, IL 60061
Lake County