DENISE STAFFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063204

License Status

NOT RENEWED

Business

First Name

DENISE

Last Name

STAFFORD

Business Name

DENISE STAFFORD

Original Issue Date

03/28/1975

Effective Date

03/28/1975

Expiration Date

03/31/1986

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005