THERESA L STANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049181138

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

STANFORD

Business Name

THERESA L STANFORD

Original Issue Date

12/14/2007

Effective Date

03/29/2011

Expiration Date

03/31/2012

City

LOCKPORT

State

Zip

60441

County

WILL

Ever Disciplined

LastModifiedDate

05/07/2012