THERESA A MCENTAFFER RPH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051289416

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

MCENTAFFER

Suffix

RPH

Business Name

THERESA A MCENTAFFER RPH

Original Issue Date

06/11/2003

Effective Date

06/11/2003

Expiration Date

03/31/2004

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

12/06/2005