Pharmacist
PHARMACY TECHNICIAN
049080617
NOT RENEWED
N
THERON
WEAVER
THERON WEAVER
01/21/1985
03/31/1988
CHICAGO
IL
60640
COOK
Y
10/17/2005
1987000301
Termination
01/03/1991
Submitted a non-bankable remittance to the Department.