POLLY M FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117379

License Status

NOT RENEWED

Business

First Name

POLLY

Middle

Last Name

FORD

Business Name

POLLY M FORD

Original Issue Date

04/24/1997

Effective Date

05/26/2011

Expiration Date

03/31/2012

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/26/2015