TERRI LASHAY BACKSTROM - Pharmacist License in Illinois | # 049159047

TERRI LASHAY BACKSTROM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159047

License Status

NOT RENEWED

Business

N

First Name

TERRI

Middle

LASHAY

Last Name

BACKSTROM

Business Name

TERRI LASHAY BACKSTROM

Original Issue Date

02/03/2005

Effective Date

02/03/2005

Expiration Date

03/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2006