TED G THACHENKARY MD

Business Entity
NOT RENEWED

Pharmacist

PHARMACY TECHNICIAN

049118258

NOT RENEWED

N

MD

TED

G

THACHENKARY

TED G THACHENKARY MD

07/25/1997

07/25/1997

03/31/1998

HAWTHORN WOODS

IL

60047

N

10/17/2005