ANDRIENNE FAYE TERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049120961

License Status

NOT RENEWED

Business

First Name

ANDRIENNE

Middle

FAYE

Last Name

TERRY

Business Name

ANDRIENNE FAYE TERRY

Original Issue Date

05/08/1998

Effective Date

05/08/1998

Expiration Date

03/31/2000

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005