PATRICK PHILIP FORYS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058774

License Status

NOT RENEWED

Business

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

City

NASHVILLE

State

Zip

62263

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/17/2005