KEVIN J FORREST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049126557

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

FORREST

Business Name

KEVIN J FORREST

Original Issue Date

06/29/1999

Effective Date

06/29/1999

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60653

County

COOK

Ever Disciplined

LastModifiedDate

03/20/2007