KIM D FORBER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049065669

License Status

NOT RENEWED

Business

First Name

KIM D

Last Name

FORBER

Business Name

KIM D FORBER

Original Issue Date

07/02/1976

Effective Date

07/02/1976

Expiration Date

01/01/1997

City

ALEDO

State

Zip

61231

County

MERCER

Ever Disciplined

LastModifiedDate

10/17/2005