M THERESA GILLIAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049058000

License Status

NOT RENEWED

Business

First Name

M THERESA

Last Name

GILLIAM

Business Name

M THERESA GILLIAM

Original Issue Date

07/01/1972

Effective Date

07/01/1972

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005