RACHEL B FORMAN - Pharmacist License in Illinois | # 049200643

RACHEL B FORMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049200643

License Status

NOT RENEWED

Business

N

First Name

RACHEL

Middle

B

Last Name

FORMAN

Prefix

MR

Business Name

RACHEL B FORMAN

Original Issue Date

09/20/2010

Effective Date

09/20/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011