STEPHANIE J FORKENBOCK - Pharmacist License in Illinois | # 049131010

STEPHANIE J FORKENBOCK

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131010

License Status

NOT RENEWED

Business

N

First Name

STEPHANIE

Middle

J

Last Name

FORKENBOCK

Business Name

STEPHANIE J FORKENBOCK

Original Issue Date

06/01/2000

Effective Date

03/29/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012