TERRI D BASHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099639

License Status

NOT RENEWED

Business

First Name

TERRI D

Last Name

BASHAM

Business Name

TERRI D BASHAM

Original Issue Date

03/11/1992

Effective Date

03/11/1992

Expiration Date

03/31/2003

City

ZION

State

Zip

60099

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005