License holder summary

Phyllis Jean Fortner is a Pharmacy Technician In-Training licensed to practice in Indiana. The address on file for Phyllis Jean Fortner is Amo IN 46103. This licensed professional license is not current. The license was granted 01/31/2005 and expired on 01/31/2006.

Indiana

Professional Licensing Agency

Phyllis Jean Fortner
Pharmacy Technician In-Training
License number
99015631A
Date granted
01/31/2005
Date expires
01/31/2006
Class
Pharmacy Technician In-Training
Status
Expired
Address
Amo IN 46103
indianalicensing.org
ID 8310344
LAST UPDATED 2024-02-18 07:49:48 UTC

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