POLLY M FORD - Pharmacist License in Illinois | # 049117379

POLLY M FORD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117379

License Status

NOT RENEWED

Business

N

First Name

POLLY

Middle

M

Last Name

FORD

Business Name

POLLY M FORD

Original Issue Date

04/24/1997

Effective Date

05/26/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/26/2015