TERRY R DOLL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152872

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

Last Name

DOLL

Business Name

TERRY R DOLL

Original Issue Date

01/15/2004

Effective Date

01/15/2004

Expiration Date

03/31/2005

City

OAK FOREST

State

Zip

60452

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005