JULIA J THEOBALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060834

License Status

NOT RENEWED

Business

First Name

JULIA J

Last Name

THEOBALD

Business Name

JULIA J THEOBALD

Original Issue Date

01/14/1974

Effective Date

01/14/1974

Expiration Date

01/01/1997

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005