TERRY L ALLISON — OIG Excluded Provider (MOLINE, IL, 1128b4)
TERRY L ALLISON — OIG Excluded Provider (MOLINE, IL, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: TERRY L ALLISON; Type: Individual; Provider category: PHARMACY.
| Name | TERRY L ALLISON |
|---|---|
| Type | Individual |
| Provider category | PHARMACY |
| Specialty | TECHNICIAN |
| City | MOLINE |
| State | IL |
| ZIP | 61265 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 2000-08-20 |
| Source | HHS-OIG LEIE |
$1499/mo
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