LORENZO E FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152157

License Status

NOT RENEWED

Business

First Name

LORENZO

Middle

Last Name

FORD

Business Name

LORENZO E FORD

Original Issue Date

11/17/2003

Effective Date

03/24/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012