CODY J FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049243646

License Status

NOT RENEWED

Business

First Name

CODY

Middle

Last Name

FORD

Business Name

CODY J FORD

Original Issue Date

07/29/2016

Effective Date

02/28/2017

Expiration Date

03/31/2018

City

DU QUOIN

State

Zip

62832

County

PERRY

Ever Disciplined

LastModifiedDate

06/19/2018