KEVIN LAWAYNE FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235596

License Status

NOT RENEWED

Business

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

City

HILLSIDE

State

Zip

60162

County

COOK

Ever Disciplined

LastModifiedDate

05/20/2016