TERILISE LENEE LAWRENCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155022

License Status

NOT RENEWED

Business

First Name

TERILISE

Middle

LENEE

Last Name

LAWRENCE

Business Name

TERILISE LENEE LAWRENCE

Original Issue Date

06/11/2004

Effective Date

06/11/2004

Expiration Date

03/31/2005

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005