Debra L Fortin
Revoked or deniedIllinois license 049112628
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049112628
- Status
- Revoked or denied (Revoked)
- First issued
- November 28, 1995
- Expired
- March 31, 2015
- License holder
- Debra L Fortin
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 05/01/2014
- Ever disciplined
- Yes
- Discipline case
- 1997050971
- Discipline action
- Revocation
- Discipline reason
- Due to A Violation of Probation.
- Discipline dates
- 09/19/2014
- Discipline action
- Suspension
- Discipline reason
- Allegedly altering a prescription for controlled substances by changing the number of allowable refulls from zero to ten, and allegedly having a subsatnce abuse problem.
- Discipline dates
- 09/18/1998 to 01/24/2012
- Discipline action
- Probation
- Discipline reason
- License Restored to Indefinite Probation for A Minimum of One Year and Effective Upon Payment of Fees, Filing of Forms and Completion of Continuing Education.
- Discipline dates
- 04/10/2012 to 09/19/2014
Contact
Park City, IL 60085
Lake County