AYESHA THELEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178209

License Status

NOT RENEWED

Business

First Name

AYESHA

Last Name

THELEN

Business Name

AYESHA THELEN

Original Issue Date

08/02/2007

Effective Date

02/29/2012

Expiration Date

03/31/2013

City

LA GRANGE

State

Zip

60525

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013