Stephanie J Forkenbock
ExpiredIllinois license 049131010
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049131010
- Status
- Expired (Not Renewed)
- First issued
- June 1, 2000
- Expired
- March 31, 2012
- License holder
- Stephanie J Forkenbock
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 03/29/2011
Contact
Bourbonnais, IL 60914
Kankakee County