JAMIE TENIQUA STANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049176517

License Status

NOT RENEWED

Business

First Name

JAMIE

Middle

TENIQUA

Last Name

STANFORD

Business Name

JAMIE TENIQUA STANFORD

Original Issue Date

05/21/2007

Effective Date

05/21/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008