TERRA A WHITE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049204007

License Status

NOT RENEWED

Business

First Name

TERRA

Middle

Last Name

WHITE

Prefix

Business Name

TERRA A WHITE

Original Issue Date

05/05/2011

Effective Date

03/05/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013