IMO E FORAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049076190

License Status

NOT RENEWED

Business

First Name

IMO E

Last Name

FORAKER

Business Name

IMO E FORAKER

Original Issue Date

03/26/1982

Effective Date

03/26/1982

Expiration Date

03/31/1989

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005