THERESA A BUSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049063435

License Status

NOT RENEWED

Business

First Name

THERESA A

Last Name

BUSH

Business Name

THERESA A BUSH

Original Issue Date

05/16/1975

Effective Date

05/16/1975

Expiration Date

01/01/1997

City

HAMILTON

State

Zip

62341

County

HANCOCK

Ever Disciplined

LastModifiedDate

10/17/2005