DOLLY D FORSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151395

License Status

NOT RENEWED

Business

First Name

DOLLY

Middle

Last Name

FORSON

Business Name

DOLLY D FORSON

Original Issue Date

10/07/2003

Effective Date

03/05/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60607

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011