BRENDA KAY FORD - Pharmacist License in Illinois | # 049062859

BRENDA KAY FORD

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062859

License Status

CANCELLED

Business

N

First Name

BRENDA KAY

Last Name

FORD

Business Name

BRENDA KAY FORD

Original Issue Date

01/31/1975

Effective Date

01/31/1975

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005