JUANTWONETTE T FORD - Pharmacist License in Illinois | # 049215434

JUANTWONETTE T FORD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215434

License Status

NOT RENEWED

Business

N

First Name

JUANTWONETTE

Middle

T

Last Name

FORD

Prefix

MR

Business Name

JUANTWONETTE T FORD

Original Issue Date

01/11/2013

Effective Date

01/11/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014