BETTINA NICOLE STANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049128077

License Status

NOT RENEWED

Business

First Name

BETTINA

Middle

NICOLE

Last Name

STANFORD

Business Name

BETTINA NICOLE STANFORD

Original Issue Date

10/28/1999

Effective Date

10/28/1999

Expiration Date

03/31/2004

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005