THOMAS R STANFORD - Pharmacist License in Illinois | # 049115462

THOMAS R STANFORD

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115462

License Status

NOT RENEWED

Business

N

First Name

THOMAS

Middle

R

Last Name

STANFORD

Business Name

THOMAS R STANFORD

Original Issue Date

10/02/1996

Effective Date

10/02/1996

Expiration Date

03/31/2000

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005