CHRISTINE M FOROUTAN Pharmacist License verification

Business Entity

ACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213278

License Status

ACTIVE

Business

First Name

CHRISTINE

Middle

Last Name

FOROUTAN

Prefix

Business Name

CHRISTINE M FOROUTAN

Original Issue Date

09/04/2012

Effective Date

02/02/2026

Expiration Date

03/31/2027

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

02/02/2026