EVANS THEODULE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049171487

License Status

NOT RENEWED

Business

First Name

EVANS

Last Name

THEODULE

Business Name

EVANS THEODULE

Original Issue Date

09/20/2006

Effective Date

09/20/2006

Expiration Date

03/31/2007

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007