SAMANTHA JO FORREST - Pharmacist License in Illinois | # 049254998

SAMANTHA JO FORREST

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049254998

License Status

NOT RENEWED

Business

N

First Name

SAMANTHA

Middle

JO

Last Name

FORREST

Business Name

SAMANTHA JO FORREST

Original Issue Date

12/12/2017

Effective Date

03/09/2018

Expiration Date

03/31/2019

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019