EDWARD L THEISEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049082318

License Status

NOT RENEWED

Business

First Name

EDWARD L

Last Name

THEISEN

Business Name

EDWARD L THEISEN

Original Issue Date

02/13/1986

Effective Date

02/13/1986

Expiration Date

03/31/1991

City

WAUKEGAN

State

Zip

60085

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005