THERESA BUCKINGHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049071516

License Status

NOT RENEWED

Business

First Name

THERESA

Last Name

BUCKINGHAM

Business Name

THERESA BUCKINGHAM

Original Issue Date

07/13/1979

Effective Date

07/13/1979

Expiration Date

03/31/1984

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005