BRIANNE NICHOLE FORGIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225465

License Status

NOT RENEWED

Business

First Name

BRIANNE

Middle

NICHOLE

Last Name

FORGIE

Business Name

BRIANNE NICHOLE FORGIE

Original Issue Date

05/28/2014

Effective Date

05/28/2014

Expiration Date

03/31/2015

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

05/11/2015