TERRY LEE KIPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123860

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

LEE

Last Name

KIPER

Business Name

TERRY LEE KIPER

Original Issue Date

11/19/1998

Effective Date

11/19/1998

Expiration Date

03/31/2000

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/21/2005