TAMMY MICHELLE TERRAULT-PENDERGRAFT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102858

License Status

NOT RENEWED

Business

First Name

TAMMY

Middle

MICHELLE

Last Name

TERRAULT-PENDERGRAFT

Business Name

TAMMY MICHELLE TERRAULT-PENDERGRAFT

Original Issue Date

03/26/1993

Effective Date

03/26/1993

Expiration Date

03/31/1999

City

ALGONQUIN

State

Zip

60102

County

MCHENRY

Ever Disciplined

LastModifiedDate

10/17/2005