GINA M STANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103228

License Status

NOT RENEWED

Business

First Name

GINA M

Last Name

STANFORD

Business Name

GINA M STANFORD

Original Issue Date

04/26/1993

Effective Date

04/26/1993

Expiration Date

03/31/2001

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005