KELLY M FORTH Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153929

License Status

ACTIVE

Business

First Name

KELLY

Middle

Last Name

FORTH

Business Name

KELLY M FORTH

Original Issue Date

03/31/2004

Effective Date

01/03/2025

Expiration Date

03/31/2026

City

STERLING

State

Zip

61081

Ever Disciplined

LastModifiedDate

01/30/2026