TERRENCE WESLEY MAYFIELD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053991

License Status

NOT RENEWED

Business

First Name

TERRENCE WESLEY

Last Name

MAYFIELD

Business Name

TERRENCE WESLEY MAYFIELD

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

LASALLE

State

Zip

61301

County

LA SALLE

Ever Disciplined

LastModifiedDate

10/17/2005