SANDRA A FORDE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086902

License Status

NOT RENEWED

Business

First Name

SANDRA A

Last Name

FORDE

Business Name

SANDRA A FORDE

Original Issue Date

06/07/1988

Effective Date

06/07/1988

Expiration Date

03/31/1991

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005