TERA JEAN KOHLBUSS - Pharmacist License in Illinois | # 049166012

TERA JEAN KOHLBUSS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166012

License Status

NOT RENEWED

Business

N

First Name

TERA

Middle

JEAN

Last Name

KOHLBUSS

Business Name

TERA JEAN KOHLBUSS

Original Issue Date

01/09/2006

Effective Date

01/10/2008

Expiration Date

03/31/2009

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2009