JOSEPH S WARD III Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

OTHER CONTROLLED SUBSTANCE

License Number

097001762

License Status

NOT RENEWED

Business

First Name

JOSEPH

Middle

Last Name

WARD

Suffix

III

Business Name

JOSEPH S WARD III

Original Issue Date

10/01/2010

Effective Date

10/01/2010

Expiration Date

12/31/2012

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Specialty/Qualifier

INDIVIDUAL

Ever Disciplined

LastModifiedDate

02/21/2013