THOMAS D ENTWISTLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121285

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

Last Name

ENTWISTLE

Business Name

THOMAS D ENTWISTLE

Original Issue Date

06/03/1998

Effective Date

06/03/1998

Expiration Date

03/31/2003

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005