KENNETH A FOARD Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036602

License Status

INACTIVE

Business

First Name

KENNETH A

Last Name

FOARD

Business Name

KENNETH A FOARD

Original Issue Date

06/22/1987

Effective Date

01/12/2010

Expiration Date

03/31/2012

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

01/12/2012