MARY E FORBECK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158307

License Status

NOT RENEWED

Business

First Name

MARY

Middle

Last Name

FORBECK

Business Name

MARY E FORBECK

Original Issue Date

12/13/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

BRAIDWOOD

State

Zip

60408

County

LA SALLE

Ever Disciplined

LastModifiedDate

05/14/2007