KIRK A SANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154345

License Status

NOT RENEWED

Business

First Name

KIRK

Middle

Last Name

SANFORD

Business Name

KIRK A SANFORD

Original Issue Date

05/19/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/14/2007