TERI R BELISLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122386

License Status

NOT RENEWED

Business

First Name

TERI

Middle

Last Name

BELISLE

Business Name

TERI R BELISLE

Original Issue Date

08/11/1998

Effective Date

08/11/1998

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005