STEPHEN M FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049199549

License Status

NOT RENEWED

Business

First Name

STEPHEN

Middle

Last Name

FORD

Business Name

STEPHEN M FORD

Original Issue Date

07/22/2010

Effective Date

01/05/2011

Expiration Date

03/31/2012

City

CHAPIN

State

Zip

62628

County

MORGAN

Ever Disciplined

LastModifiedDate

05/07/2012