TERA JEAN KOHLBUSS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166012

License Status

NOT RENEWED

Business

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

City

SOUTH PEKIN

State

Zip

61564

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2009