KELLY A FORSYTHE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131594

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

FORSYTHE

Business Name

KELLY A FORSYTHE

Original Issue Date

07/13/2000

Effective Date

07/13/2000

Expiration Date

03/31/2001

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

10/21/2005