ANTHONY TERRELL DEAL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154268

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

TERRELL

Last Name

DEAL

Business Name

ANTHONY TERRELL DEAL

Original Issue Date

05/19/2004

Effective Date

05/19/2004

Expiration Date

03/31/2005

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

10/20/2005