JEWELL FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158550

License Status

NOT RENEWED

Business

First Name

JEWELL

Last Name

FORD

Business Name

JEWELL FORD

Original Issue Date

12/22/2004

Effective Date

12/22/2004

Expiration Date

03/31/2006

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/11/2006