THEODORE E DILLENBURG Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060987

License Status

CANCELLED

Business

First Name

THEODORE E

Last Name

DILLENBURG

Business Name

THEODORE E DILLENBURG

Original Issue Date

02/15/1974

Effective Date

02/15/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60632

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005