DONALD RAY STANFORTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058921

License Status

NOT RENEWED

Business

First Name

DONALD RAY

Last Name

STANFORTH

Business Name

DONALD RAY STANFORTH

Original Issue Date

01/09/1973

Effective Date

01/09/1973

Expiration Date

01/01/1997

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

10/17/2005