THOMAS WALTER MADER MD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166297

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

WALTER

Last Name

MADER

Business Name

THOMAS WALTER MADER MD

Original Issue Date

01/26/2006

Effective Date

06/22/2007

Expiration Date

03/31/2008

City

BATAVIA

State

Zip

60510

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2008