KENNETH WAYNE FORD - Pharmacist License in Illinois | # 049062948

KENNETH WAYNE FORD

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062948

License Status

CANCELLED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005