TODD A THEISEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049081819

License Status

NOT RENEWED

Business

First Name

TODD A

Last Name

THEISEN

Business Name

TODD A THEISEN

Original Issue Date

10/21/1985

Effective Date

10/21/1985

Expiration Date

03/31/1986

City

SCHAUMBURG

State

Zip

60193

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005