GREGORY JW FORSYTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049213756

License Status

NOT RENEWED

Business

First Name

GREGORY

Middle

Last Name

FORSYTH

Business Name

GREGORY JW FORSYTH

Original Issue Date

09/27/2012

Effective Date

09/27/2012

Expiration Date

03/31/2013

City

SYCAMORE

State

Zip

60178

County

DEKALB

Ever Disciplined

LastModifiedDate

05/06/2013