MISTY AMBER FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049252204

License Status

NOT RENEWED

Business

First Name

MISTY

Middle

AMBER

Last Name

FORD

Business Name

MISTY AMBER FORD

Original Issue Date

08/08/2017

Effective Date

02/27/2018

Expiration Date

03/31/2019

City

SMITHFIELD

State

Zip

61477

Ever Disciplined

LastModifiedDate

07/15/2019