SCOTT G FORBY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158813

License Status

NOT RENEWED

Business

First Name

SCOTT

Middle

Last Name

FORBY

Business Name

SCOTT G FORBY

Original Issue Date

01/10/2005

Effective Date

04/02/2012

Expiration Date

03/31/2013

City

EVANSTON

State

Zip

60203

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013