THOMAS G STAPLETON Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063581

License Status

CANCELLED

Business

First Name

THOMAS G

Last Name

STAPLETON

Business Name

THOMAS G STAPLETON

Original Issue Date

06/06/1975

Effective Date

06/06/1975

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005