Pharmacist
PHARMACY TECHNICIAN
049086143
NOT RENEWED
N
CURTIS E
FORD
CURTIS E FORD
03/05/1988
03/05/1988
03/31/1990
CHICAGO
IL
60619
COOK
Y
10/17/2005
1990001079
Revocation
06/06/1991
Failing to respond to an official Department request within 60 days.