THERESA MARIE RUCOBO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049158325

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

MARIE

Last Name

RUCOBO

Business Name

THERESA MARIE RUCOBO

Original Issue Date

12/14/2004

Effective Date

03/13/2017

Expiration Date

03/31/2018

City

SAVANNA

State

Zip

61074

County

CARROLL

Ever Disciplined

LastModifiedDate

06/19/2018