JILL SUZANNE FORREST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150595

License Status

NOT RENEWED

Business

First Name

JILL

Middle

SUZANNE

Last Name

FORREST

Business Name

JILL SUZANNE FORREST

Original Issue Date

09/17/2003

Effective Date

02/03/2014

Expiration Date

03/31/2015

City

BELLFLOWER

State

Zip

61724

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/11/2015