SUSAN I THEOBALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086242

License Status

NOT RENEWED

Business

First Name

SUSAN I

Last Name

THEOBALD

Business Name

SUSAN I THEOBALD

Original Issue Date

03/26/1988

Effective Date

03/26/1988

Expiration Date

03/31/1990

City

MORTON

State

Zip

61550

County

TAZEWELL

Ever Disciplined

LastModifiedDate

10/17/2005