KELLY M FORTH - Pharmacist License in Illinois | # 049153929

KELLY M FORTH

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153929

License Status

ACTIVE

Business

N

First Name

KELLY

Middle

M

Last Name

FORTH

Business Name

KELLY M FORTH

Original Issue Date

03/31/2004

Effective Date

01/03/2025

Expiration Date

03/31/2026

State

IL

Ever Disciplined

N

LastModifiedDate

01/30/2026