RICHARD DEFOREST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049055990

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

DEFOREST

Business Name

RICHARD DEFOREST

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

NEW LENOX

State

Zip

60451

County

WILL

Ever Disciplined

LastModifiedDate

10/17/2005