KATELYN P FORMAN - Pharmacist License in Illinois | # 049241822

KATELYN P FORMAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049241822

License Status

NOT RENEWED

Business

N

First Name

KATELYN

Middle

P

Last Name

FORMAN

Business Name

KATELYN P FORMAN

Original Issue Date

05/12/2016

Effective Date

05/12/2016

Expiration Date

03/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

05/10/2017