SUSAN D FOARD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031359

License Status

INACTIVE

Business

First Name

SUSAN D

Last Name

FOARD

Business Name

SUSAN D FOARD

Original Issue Date

02/10/1977

Effective Date

03/15/2012

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/09/2014