THERESA M WAYNE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049092798

License Status

NOT RENEWED

Business

First Name

THERESA M

Last Name

WAYNE

Business Name

THERESA M WAYNE

Original Issue Date

04/13/1990

Effective Date

04/13/1990

Expiration Date

03/31/2005

City

ORLAND PARK

State

Zip

60462

Ever Disciplined

LastModifiedDate

10/20/2005