THERESA K VANDERBILT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049103172

License Status

NOT RENEWED

Business

First Name

THERESA K

Last Name

VANDERBILT

Business Name

THERESA K VANDERBILT

Original Issue Date

04/21/1993

Effective Date

04/21/1993

Expiration Date

03/31/1994

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/17/2005