THEODORE L MERRIWEATHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152501

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

MERRIWEATHER

Business Name

THEODORE L MERRIWEATHER

Original Issue Date

12/15/2003

Effective Date

12/15/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005