DENISE L FORSELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238540

License Status

NOT RENEWED

Business

First Name

DENISE

Middle

Last Name

FORSELL

Business Name

DENISE L FORSELL

Original Issue Date

12/28/2015

Effective Date

03/21/2016

Expiration Date

03/31/2017

City

CEDAR LAKE

State

Zip

46303

County

INDIANA

Ever Disciplined

LastModifiedDate

05/10/2017