PATRICIA A FORAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086792

License Status

NOT RENEWED

Business

First Name

PATRICIA A

Last Name

FORAKER

Business Name

PATRICIA A FORAKER

Original Issue Date

05/24/1988

Effective Date

05/24/1988

Expiration Date

03/31/1994

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005