KENNETH WAYNE FORD Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062948

License Status

CANCELLED

Business

First Name

KENNETH WAYNE

Last Name

FORD

Business Name

KENNETH WAYNE FORD

Original Issue Date

02/14/1975

Effective Date

02/14/1975

Expiration Date

01/01/1997

City

DES PLAINES

State

Zip

60018

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005