WALT JACK SANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118453

License Status

NOT RENEWED

Business

First Name

WALT

Middle

JACK

Last Name

SANFORD

Business Name

WALT JACK SANFORD

Original Issue Date

08/11/1997

Effective Date

08/11/1997

Expiration Date

03/31/1999

City

MATTESON

State

Zip

60443

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005