THERESA JANE DAHLBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049146444

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

JANE

Last Name

DAHLBERG

Business Name

THERESA JANE DAHLBERG

Original Issue Date

12/19/2002

Effective Date

12/19/2002

Expiration Date

03/31/2004

City

FRANKFORT

State

Zip

60423

County

WILL

Ever Disciplined

LastModifiedDate

10/20/2005