LORI MICHELLE STAFFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134094

License Status

NOT RENEWED

Business

First Name

LORI

Middle

MICHELLE

Last Name

STAFFORD

Business Name

LORI MICHELLE STAFFORD

Original Issue Date

12/18/2000

Effective Date

01/20/2012

Expiration Date

03/31/2013

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2013