Amy E Fornek
ExpiredIllinois license 049097552
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049097552
- Status
- Expired (Not Renewed)
- First issued
- July 25, 1991
- Expired
- March 31, 1995
- License holder
- Amy E Fornek
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 07/25/1991
Contact
Lansing, IL 60438
Cook County