TERRY L LEATHERMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072038

License Status

NOT RENEWED

Business

First Name

TERRY L

Last Name

LEATHERMAN

Business Name

TERRY L LEATHERMAN

Original Issue Date

10/19/1979

Effective Date

10/19/1979

Expiration Date

03/31/1984

City

ROUND LAKE PARK

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005