KAILIN M FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221211

License Status

NOT RENEWED

Business

First Name

KAILIN

Middle

Last Name

FORD

Business Name

KAILIN M FORD

Original Issue Date

10/02/2013

Effective Date

01/26/2015

Expiration Date

03/31/2016

City

EAST PEORIA

State

Zip

61611

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/20/2016