CONNIE M THIEMS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049175927

License Status

NOT RENEWED

Business

First Name

CONNIE

Middle

Last Name

THIEMS

Business Name

CONNIE M THIEMS

Original Issue Date

04/26/2007

Effective Date

03/06/2018

Expiration Date

03/31/2019

City

NEW DOUGLAS

State

Zip

62074

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019