TERRY PATRICK RUNYON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146973

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

PATRICK

Last Name

RUNYON

Business Name

TERRY PATRICK RUNYON

Original Issue Date

02/11/2003

Effective Date

02/11/2003

Expiration Date

03/31/2004

City

GREEN VALLEY

State

Zip

61534

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/20/2005