TERRY E BURTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049118773

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

BURTIS

Business Name

TERRY E BURTIS

Original Issue Date

09/02/1997

Effective Date

09/02/1997

Expiration Date

03/31/1998

City

GALATIA

State

Zip

62935

County

SALINE

Ever Disciplined

LastModifiedDate

10/17/2005