AMY E FORNEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049097552

License Status

NOT RENEWED

Business

First Name

AMY E

Last Name

FORNEK

Business Name

AMY E FORNEK

Original Issue Date

07/25/1991

Effective Date

07/25/1991

Expiration Date

03/31/1995

City

LANSING

State

Zip

60438

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005