HEPHZIBAH BEULAH FORSAC Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206840

License Status

NOT RENEWED

Business

First Name

HEPHZIBAH

Middle

BEULAH

Last Name

FORSAC

Business Name

HEPHZIBAH BEULAH FORSAC

Original Issue Date

09/21/2011

Effective Date

03/05/2015

Expiration Date

03/31/2016

City

KENOSHA

State

Zip

53143

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/20/2016