AMY M FORSSBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049196231

License Status

NOT RENEWED

Business

First Name

AMY

Middle

Last Name

FORSSBERG

Prefix

Business Name

AMY M FORSSBERG

Original Issue Date

01/14/2010

Effective Date

06/17/2013

Expiration Date

03/31/2014

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2014