ERIC WAYNE SANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152096

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

WAYNE

Last Name

SANFORD

Business Name

ERIC WAYNE SANFORD

Original Issue Date

11/06/2003

Effective Date

11/06/2003

Expiration Date

03/31/2004

City

BELLEVILLE

State

Zip

62221

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/20/2005