JERRY LAMONT STANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154900

License Status

NOT RENEWED

Business

First Name

JERRY

Middle

LAMONT

Last Name

STANFORD

Business Name

JERRY LAMONT STANFORD

Original Issue Date

06/10/2004

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008