CAROLYN TERRY BONNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051291624

License Status

NOT RENEWED

Business

First Name

CAROLYN

Middle

TERRY

Last Name

BONNER

Business Name

CAROLYN TERRY BONNER

Original Issue Date

12/12/2006

Effective Date

12/12/2006

Expiration Date

03/31/2008

City

GRETNA

State

Zip

70056

County

JEFFERSON

Ever Disciplined

LastModifiedDate

05/02/2008