TERRY R KIRK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049050819

License Status

NOT RENEWED

Business

First Name

TERRY R

Last Name

KIRK

Business Name

TERRY R KIRK

Original Issue Date

01/01/1997

Expiration Date

03/31/1991

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005