TERRA L MANLEY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049187041

License Status

NOT RENEWED

Business

First Name

TERRA

Middle

Last Name

MANLEY

Business Name

TERRA L MANLEY

Original Issue Date

09/16/2008

Effective Date

01/27/2009

Expiration Date

03/31/2010

City

MINONK

State

Zip

61760

County

WOODFORD

Ever Disciplined

LastModifiedDate

05/04/2010