ALICIA BEVERLY FORINASH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114486

License Status

NOT RENEWED

Business

First Name

ALICIA

Middle

BEVERLY

Last Name

FORINASH

Business Name

ALICIA BEVERLY FORINASH

Original Issue Date

06/25/1996

Effective Date

06/25/1996

Expiration Date

03/31/1998

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

10/17/2005