MARCIE CHRISTINE THEISEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049166661

License Status

INACTIVE

Business

First Name

MARCIE

Middle

CHRISTINE

Last Name

THEISEN

Business Name

MARCIE CHRISTINE THEISEN

Original Issue Date

03/08/2006

Effective Date

03/27/2014

Expiration Date

03/31/2015

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

01/06/2015