DYAN FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114225

License Status

NOT RENEWED

Business

First Name

DYAN

Last Name

FORD

Business Name

DYAN FORD

Original Issue Date

05/11/1996

Effective Date

01/10/2008

Expiration Date

03/31/2009

City

UNION

State

Zip

60180

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/06/2009