THERESIA MARIE DAHL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049139810

License Status

NOT RENEWED

Business

First Name

THERESIA

Middle

MARIE

Last Name

DAHL

Business Name

THERESIA MARIE DAHL

Original Issue Date

01/04/2002

Effective Date

01/04/2002

Expiration Date

03/31/2006

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006