SAMYA M STANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202298

License Status

NOT RENEWED

Business

First Name

SAMYA

Middle

Last Name

STANFORD

Prefix

Business Name

SAMYA M STANFORD

Original Issue Date

01/12/2011

Effective Date

01/12/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012