THOMAS R STANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115462

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

STANFORD

Business Name

THOMAS R STANFORD

Original Issue Date

10/02/1996

Effective Date

10/02/1996

Expiration Date

03/31/2000

City

ROSICLARE

State

Zip

62982

County

HARDIN

Ever Disciplined

LastModifiedDate

10/21/2005