DECEMBER THERESE THERRIEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049134118

License Status

NOT RENEWED

Business

First Name

DECEMBER

Middle

THERESE

Last Name

THERRIEN

Business Name

DECEMBER THERESE THERRIEN

Original Issue Date

12/19/2000

Effective Date

12/19/2000

Expiration Date

03/31/2002

City

WILDWOOD

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

12/06/2005