MARY P FORSBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101595

License Status

NOT RENEWED

Business

First Name

MARY P

Last Name

FORSBERG

Business Name

MARY P FORSBERG

Original Issue Date

10/27/1992

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CLINTON

State

Zip

61727

County

DE WITT

Ever Disciplined

LastModifiedDate

05/02/2008