TERRY LYNN FRAZELLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049064784

License Status

NOT RENEWED

Business

First Name

TERRY LYNN

Last Name

FRAZELLE

Business Name

TERRY LYNN FRAZELLE

Original Issue Date

01/30/1976

Effective Date

01/30/1976

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61614

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/17/2005