SHANE AUSTIN STANFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049208767

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

AUSTIN

Last Name

STANFORD

Business Name

SHANE AUSTIN STANFORD

Original Issue Date

01/18/2012

Effective Date

03/27/2013

Expiration Date

03/31/2014

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

05/06/2014