License Directory

Sachi Nicol Forman

Expired

Illinois license 129221246

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
129221246
Status
Expired (Not Renewed)
First issued
March 2, 1999
Expired
May 31, 2009
License holder
Sachi Nicol Forman
Entity type
Individual

Classifications

More from the license record

Current term began
08/16/2007
Ever disciplined
Yes
Discipline case
2005005591
Discipline action
Refuse To Renew
Discipline reason
Failed to comply with the divisions' request for information.
Discipline dates
10/03/2005 to 04/26/2007

Other Illinois licenses under this name

  • IL
    Sachi Nicol Forman
    License 049130547
    Pharmacy Technician
    Expired
    Kankakee, IL
    Expired Mar 31, 2011

Contact

Kankakee, IL 60901
Kankakee County