THERESA EVANS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049062360

License Status

NOT RENEWED

Business

First Name

THERESA

Last Name

EVANS

Business Name

THERESA EVANS

Original Issue Date

10/11/1974

Effective Date

10/11/1974

Expiration Date

01/01/1997

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005