TERRENCE KENT BOOTH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156006

License Status

NOT RENEWED

Business

First Name

TERRENCE

Middle

KENT

Last Name

BOOTH

Business Name

TERRENCE KENT BOOTH

Original Issue Date

07/09/2004

Effective Date

04/20/2011

Expiration Date

03/31/2012

City

DARIEN

State

Zip

60561

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012