GERALD J FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150337

License Status

NOT RENEWED

Business

First Name

GERALD

Middle

Last Name

FORD

Business Name

GERALD J FORD

Original Issue Date

08/25/2003

Effective Date

08/25/2003

Expiration Date

03/31/2006

City

CHICAGO

State

Zip

60604

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006