RICHARD DEFOREST - Pharmacist License in Illinois | # 049055990

RICHARD DEFOREST

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055990

License Status

NOT RENEWED

Business

N

First Name

RICHARD

Last Name

DEFOREST

Business Name

RICHARD DEFOREST

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005