RAYLEN DENISE STANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049069626

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005