Indiana
Professional Licensing Agency
RAYMOND E FORTMAN
Pharmacist
License number
26013545A
Date granted
07/15/1970
Date expires
06/30/2014
Class
Pharmacist
Status
Expired
Address
GREENSBURG IN 47240-7869
indianalicensing.org
ID 8293743
LAST UPDATED 2024-03-20 12:55:47 UTC
LAST UPDATED 2024-03-20 12:55:47 UTC
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