RAYLEN DENISE STANFORD - Pharmacist License in Illinois | # 049069626

RAYLEN DENISE STANFORD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069626

License Status

NOT RENEWED

Business

N

First Name

RAYLEN DENISE

Last Name

STANFORD

Business Name

RAYLEN DENISE STANFORD

Original Issue Date

06/23/1978

Effective Date

06/23/1978

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005