TERRY A NELSON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063383

License Status

NOT RENEWED

Business

First Name

TERRY A

Last Name

NELSON

Business Name

TERRY A NELSON

Original Issue Date

05/02/1975

Effective Date

05/02/1975

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005