MICHELLE R FORSYTHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049289979

License Status

NOT RENEWED

Business

First Name

MICHELLE

Middle

Last Name

FORSYTHE

Business Name

MICHELLE R FORSYTHE

Original Issue Date

01/27/2022

Effective Date

01/27/2022

Expiration Date

03/31/2023

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

09/07/2023