AMY LYNN THEIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140619

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYNN

Last Name

THEIS

Business Name

AMY LYNN THEIS

Original Issue Date

02/15/2002

Effective Date

02/15/2002

Expiration Date

03/31/2003

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

10/20/2005