WILLIAM R FORSLEV Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049104758

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

FORSLEV

Business Name

WILLIAM R FORSLEV

Original Issue Date

10/07/1993

Effective Date

10/07/1993

Expiration Date

03/31/1998

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005