SHAYLA FORD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049184070

License Status

INACTIVE

Business

First Name

SHAYLA

Last Name

FORD

Business Name

SHAYLA FORD

Original Issue Date

05/05/2008

Effective Date

03/22/2010

Expiration Date

03/31/2011

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/05/2011