HEATHER MICHELLE FORAKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049179644

License Status

NOT RENEWED

Business

First Name

HEATHER

Middle

MICHELLE

Last Name

FORAKER

Business Name

HEATHER MICHELLE FORAKER

Original Issue Date

10/01/2007

Effective Date

10/01/2007

Expiration Date

03/31/2008

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/02/2008