TERRI LYNN POTTHAST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049117552

License Status

NOT RENEWED

Business

First Name

TERRI

Middle

LYNN

Last Name

POTTHAST

Business Name

TERRI LYNN POTTHAST

Original Issue Date

05/13/1997

Effective Date

05/13/1997

Expiration Date

03/31/1999

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005