ADAM S FORSYTHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187583

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

Last Name

FORSYTHE

Business Name

ADAM S FORSYTHE

Original Issue Date

10/10/2008

Effective Date

10/10/2008

Expiration Date

03/31/2009

City

NORTH RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2009