SAMANTHA L STANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049168185

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

Last Name

STANFORD

Business Name

SAMANTHA L STANFORD

Original Issue Date

04/26/2006

Effective Date

04/26/2006

Expiration Date

03/31/2007

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

05/14/2007