JACK F STANSBERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049044002

License Status

NOT RENEWED

Business

First Name

JACK F

Last Name

STANSBERRY

Business Name

JACK F STANSBERRY

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005