Farlen Douglas Fortner

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

049145832

Status

Expired (Not Renewed)

First issued

November 14, 2002

Expired

March 31, 2006

License holder

Farlen Douglas Fortner

Entity type

Individual

Classifications

• Pharmacy Technician Pharmacy

More from the license record

Current term began

11/14/2002

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