MARILYN J THEOBALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091294

License Status

NOT RENEWED

Business

First Name

MARILYN J

Last Name

THEOBALD

Business Name

MARILYN J THEOBALD

Original Issue Date

10/03/1989

Effective Date

10/03/1989

Expiration Date

03/31/1992

City

BUFFALO

State

Zip

62515

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005