DAVID M FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237428

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

FORD

Prefix

Business Name

DAVID M FORD

Original Issue Date

11/03/2015

Effective Date

11/03/2015

Expiration Date

03/31/2016

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/20/2016