LAURA THIESEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049070758

License Status

NOT RENEWED

Business

First Name

LAURA

Last Name

THIESEN

Business Name

LAURA THIESEN

Original Issue Date

02/23/1979

Effective Date

02/23/1979

Expiration Date

03/31/1982

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005