THEODORE MIGUEL DOUGLAS - Pharmacist License in Louisiana | # 051021545

THEODORE MIGUEL DOUGLAS

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051021545

License Status

INACTIVE

Business

N

First Name

THEODORE MIGUEL

Last Name

DOUGLAS

Business Name

THEODORE MIGUEL DOUGLAS

Original Issue Date

01/01/1997

Expiration Date

03/31/1994

State

LA

Ever Disciplined

N

LastModifiedDate

10/17/2005