TERRY MICHAEL WEATHERFORD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136158

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

MICHAEL

Last Name

WEATHERFORD

Business Name

TERRY MICHAEL WEATHERFORD

Original Issue Date

05/02/2001

Effective Date

02/16/2012

Expiration Date

03/31/2013

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013