EUGENE MICHAEL FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058243

License Status

NOT RENEWED

Business

First Name

EUGENE MICHAEL

Last Name

FORD

Business Name

EUGENE MICHAEL FORD

Original Issue Date

08/22/1972

Effective Date

08/22/1972

Expiration Date

01/01/1997

City

DOLTON

State

Zip

60419

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005