MARCELLA L THEZAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087821

License Status

INACTIVE

Business

First Name

MARCELLA L

Last Name

THEZAN

Business Name

MARCELLA L THEZAN

Original Issue Date

09/22/1988

Effective Date

03/28/2011

Expiration Date

03/31/2012

City

BURR RIDGE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/12/2012