Brian C Fort Md
ExpiredIllinois license 049121780
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049121780
- Status
- Expired (Not Renewed)
- First issued
- June 25, 1998
- Expired
- March 31, 2004
- License holder
- Brian C Fort
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 06/25/1998
Other Illinois licenses under this name
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ExpiredOak Lawn, ILExpired Jun 26, 2014
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Brian C Fort MdLicense 33*****41 · Brian C FortLicensed Physician Controlled Substance (Medical Board)ActiveWinfield, ILExpires Jul 31, 2029
Contact
Pekin, IL 61554
Tazewell County