RICHARD FORE III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052801

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

FORE III

Business Name

RICHARD FORE III

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

RIVERTON

State

Zip

62561

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005