ETHAN JAMES FORDHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049308879

License Status

NOT RENEWED

Business

First Name

ETHAN

Middle

JAMES

Last Name

FORDHAM

Business Name

ETHAN JAMES FORDHAM

Original Issue Date

01/02/2024

Effective Date

01/02/2024

Expiration Date

03/31/2025

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/08/2025