Last Updated: 12/18/2025 7:11:51 PM
Pharmacist Detail
|
Name |
KIERSTYN THEA FORNOFF |
|
Type |
Doctor of Pharmacy |
|
Number |
20476 |
|
Class |
Inactive |
|
City, State, Zip |
FULTON,MO 65251 |
|
Status |
CANCELED |
|
Issue Date |
04/08/2024 |
|
Renewed Date |
04/18/2024 |
|
Expire Date |
05/31/2025 |
|
End Date |
07/01/2025 |
|
Preceptor? |
No |
|
Immunization? |
No |
Disciplinary
Action
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column.
| Case Date | Case Number |
| No Disciplinary Action | |
|
|