JILL L FORRISTALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049090540

License Status

NOT RENEWED

Business

First Name

JILL L

Last Name

FORRISTALL

Business Name

JILL L FORRISTALL

Original Issue Date

07/05/1989

Effective Date

07/05/1989

Expiration Date

03/31/1991

City

MALDEN

State

Zip

61337

County

BUREAU

Ever Disciplined

LastModifiedDate

10/17/2005