KYLE E FORGUE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215173

License Status

NOT RENEWED

Business

First Name

KYLE E

Last Name

FORGUE

Business Name

KYLE E FORGUE

Original Issue Date

12/26/2012

Effective Date

12/26/2012

Expiration Date

03/31/2013

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/06/2013