STEPHANIE ANN FORDHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049271896

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

ANN

Last Name

FORDHAM

Business Name

STEPHANIE ANN FORDHAM

Original Issue Date

03/25/2020

Effective Date

03/09/2021

Expiration Date

05/31/2022

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/27/2022