KATY L FORLINES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249349

License Status

NOT RENEWED

Business

First Name

KATY

Middle

Last Name

FORLINES

Business Name

KATY L FORLINES

Original Issue Date

03/23/2017

Effective Date

02/20/2018

Expiration Date

03/31/2019

City

ASSUMPTION

State

Zip

62510

County

SHELBY

Ever Disciplined

LastModifiedDate

07/15/2019