KEVIN LAWAYNE FORD - Pharmacist License in Illinois | # 049235596

KEVIN LAWAYNE FORD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235596

License Status

NOT RENEWED

Business

N

First Name

KEVIN

Middle

LAWAYNE

Last Name

FORD

Business Name

KEVIN LAWAYNE FORD

Original Issue Date

08/18/2015

Effective Date

08/18/2015

Expiration Date

03/31/2016

State

IL

Ever Disciplined

N

LastModifiedDate

05/20/2016