CHERYL RAE FORSBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129458

License Status

NOT RENEWED

Business

First Name

CHERYL

Middle

RAE

Last Name

FORSBERG

Business Name

CHERYL RAE FORSBERG

Original Issue Date

02/22/2000

Effective Date

02/22/2000

Expiration Date

03/31/2002

City

ROUND LAKE BEACH

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005