ADAM MICHAEL FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049295074

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

MICHAEL

Last Name

FORD

Business Name

ADAM MICHAEL FORD

Original Issue Date

08/18/2022

Effective Date

03/18/2023

Expiration Date

03/31/2024

City

CHILLICOTHE

State

Zip

61523

County

PEORIA

Ever Disciplined

LastModifiedDate

11/15/2025