MARY K FORREST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120054

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

FORREST

Business Name

MARY K FORREST

Original Issue Date

02/11/1998

Effective Date

02/11/1998

Expiration Date

03/31/2000

City

HAMPTON

State

Zip

61256

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/21/2005