THEODORE R OSTMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049066195

License Status

NOT RENEWED

Business

First Name

THEODORE R

Last Name

OSTMAN

Business Name

THEODORE R OSTMAN

Original Issue Date

10/01/1976

Effective Date

10/01/1976

Expiration Date

01/01/1997

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005