ELAINE FORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061619

License Status

NOT RENEWED

Business

First Name

ELAINE

Last Name

FORD

Business Name

ELAINE FORD

Original Issue Date

06/18/1974

Effective Date

06/18/1974

Expiration Date

01/01/1997

City

BROOKING

State

Zip

57006

County

SOUTH DAKOTA

Ever Disciplined

LastModifiedDate

10/17/2005