TERRY L PHALEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082766

License Status

NOT RENEWED

Business

First Name

TERRY L

Last Name

PHALEN

Business Name

TERRY L PHALEN

Original Issue Date

06/03/1986

Effective Date

06/03/1986

Expiration Date

03/31/1987

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005