JUANTWONETTE T FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215434

License Status

NOT RENEWED

Business

First Name

JUANTWONETTE

Middle

Last Name

FORD

Prefix

Business Name

JUANTWONETTE T FORD

Original Issue Date

01/11/2013

Effective Date

01/11/2013

Expiration Date

03/31/2014

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2014