SHARENE AGNES TERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154902

License Status

NOT RENEWED

Business

First Name

SHARENE

Middle

AGNES

Last Name

TERRY

Business Name

SHARENE AGNES TERRY

Original Issue Date

06/10/2004

Effective Date

06/10/2004

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60619

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005