TERRY PRENTICE FARWELL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049052730

License Status

NOT RENEWED

Business

First Name

TERRY PRENTICE

Last Name

FARWELL

Business Name

TERRY PRENTICE FARWELL

Original Issue Date

01/01/1997

Expiration Date

03/31/1982

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005