Rachel B Forman
ExpiredIllinois license 049200643
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 049200643
- Status
- Expired (Not Renewed)
- First issued
- September 20, 2010
- Expired
- March 31, 2011
- License holder
- Rachel B Forman
- Entity type
- Individual
Classifications
- Pharmacy Technician Pharmacy
More from the license record
- Current term began
- 09/20/2010
Contact
Deerfield, IL 60015
Lake County