TERRI LASHAY BACKSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049159047

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2006