ADDIE M FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143129

License Status

NOT RENEWED

Business

First Name

ADDIE

Middle

Last Name

FORD

Business Name

ADDIE M FORD

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

03/31/2003

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005