COURTNEY NICOLE FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049151751

License Status

NOT RENEWED

Business

First Name

COURTNEY

Middle

NICOLE

Last Name

FORD

Business Name

COURTNEY NICOLE FORD

Original Issue Date

10/21/2003

Effective Date

10/21/2003

Expiration Date

03/31/2005

City

OTTAWA

State

Zip

61350

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/20/2005