PATRICK PHILIP FORYS - Pharmacist License in Illinois | # 049058774

PATRICK PHILIP FORYS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058774

License Status

NOT RENEWED

Business

N

First Name

PATRICK PHILIP

Last Name

FORYS

Business Name

PATRICK PHILIP FORYS

Original Issue Date

12/06/1972

Effective Date

12/06/1972

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005