RICHARD FORE III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051029163

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

FORE III

Business Name

RICHARD FORE III

Original Issue Date

08/05/1972

Effective Date

01/04/2020

Expiration Date

07/31/2022

City

PANA

State

Zip

62557

County

MACON

Ever Disciplined

LastModifiedDate

10/14/2022