Daylen Fortson
ExpiredIllinois license 049288995
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049288995
- Status
- Expired (Not Renewed)
- First issued
- December 20, 2021
- Expired
- May 31, 2022
- License holder
- Daylen Fortson
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 12/20/2021
Contact
Springfield, IL 62703
Sangamon County