SALLY JO FORNEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133684

License Status

NOT RENEWED

Business

First Name

SALLY

Middle

Last Name

FORNEY

Business Name

SALLY JO FORNEY

Original Issue Date

11/21/2000

Effective Date

11/21/2000

Expiration Date

03/31/2001

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/21/2005