BRENDA KAY FORD Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062859

License Status

CANCELLED

Business

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

City

CAHOKIA

State

Zip

62206

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/17/2005