CHAD M FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194068

License Status

NOT RENEWED

Business

First Name

CHAD

Middle

Last Name

FORD

Prefix

Business Name

CHAD M FORD

Original Issue Date

09/07/2009

Effective Date

03/10/2010

Expiration Date

03/31/2011

City

CANTON

State

Zip

61520

County

FULTON

Ever Disciplined

LastModifiedDate

05/12/2011