LARRY W FOREMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049057261

License Status

NOT RENEWED

Business

First Name

LARRY W

Last Name

FOREMAN

Business Name

LARRY W FOREMAN

Original Issue Date

01/17/1972

Effective Date

01/17/1972

Expiration Date

01/01/1997

City

SHERIDAN

State

Zip

60551

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005