LORENZO E FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051294891

License Status

NOT RENEWED

Business

First Name

LORENZO

Middle

Last Name

FORD

Business Name

LORENZO E FORD

Original Issue Date

05/27/2011

Effective Date

03/31/2014

Expiration Date

03/31/2016

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/20/2016