NANCY L THEOBALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049074515

License Status

NOT RENEWED

Business

First Name

NANCY L

Last Name

THEOBALD

Business Name

NANCY L THEOBALD

Original Issue Date

04/10/1981

Effective Date

04/10/1981

Expiration Date

03/31/1986

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005