CAROLYN ELAINE FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133881

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

ELAINE

Last Name

FORD

Business Name

CAROLYN ELAINE FORD

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/31/2002

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005