TERRI D BASHAM - Pharmacist License in Illinois | # 049099639

TERRI D BASHAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049099639

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005