TERRA LYNN WISE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129860

License Status

NOT RENEWED

Business

First Name

TERRA

Middle

LYNN

Last Name

WISE

Business Name

TERRA LYNN WISE

Original Issue Date

03/09/2000

Effective Date

03/09/2000

Expiration Date

03/31/2001

City

GIRARD

State

Zip

62640

County

MACOUPIN

Ever Disciplined

LastModifiedDate

10/21/2005