STEPHANIE KATRINA FORDYCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238572

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

KATRINA

Last Name

FORDYCE

Business Name

STEPHANIE KATRINA FORDYCE

Original Issue Date

12/30/2015

Effective Date

03/23/2017

Expiration Date

03/31/2018

City

CAMP POINT

State

Zip

62320

County

ADAMS

Ever Disciplined

LastModifiedDate

06/19/2018