TERESA R NORTRUP Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066692

License Status

CANCELLED

Business

First Name

TERESA R

Last Name

NORTRUP

Business Name

TERESA R NORTRUP

Original Issue Date

01/21/1977

Effective Date

01/21/1977

Expiration Date

03/31/1982

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005