TERRY ALAN O'BRIEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049277326

License Status

NOT RENEWED

Business

First Name

TERRY

Middle

ALAN

Last Name

O'BRIEN

Business Name

TERRY ALAN O'BRIEN

Original Issue Date

11/12/2020

Effective Date

11/12/2020

Expiration Date

03/31/2021

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

07/20/2021