ANGELA MARIE STANDAFER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122093

License Status

NOT RENEWED

Business

First Name

ANGELA

Middle

MARIE

Last Name

STANDAFER

Business Name

ANGELA MARIE STANDAFER

Original Issue Date

07/28/1998

Effective Date

07/28/1998

Expiration Date

03/31/1999

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

10/17/2005