JOSEPH J FORNAL DDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091384

License Status

NOT RENEWED

Business

First Name

JOSEPH J

Last Name

FORNAL

Suffix

DDS

Business Name

JOSEPH J FORNAL DDS

Original Issue Date

10/07/1989

Effective Date

10/07/1989

Expiration Date

03/31/1991

City

GLENDALE HEIGHTS

State

Zip

60139

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005