EDWARD J FORBRICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051014839

License Status

NOT RENEWED

Business

First Name

EDWARD J

Last Name

FORBRICH

Business Name

EDWARD J FORBRICH

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

ANTIOCH

State

Zip

60002

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005