THERESA M WADE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182194

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

WADE

Business Name

THERESA M WADE

Original Issue Date

02/15/2008

Effective Date

04/08/2010

Expiration Date

03/31/2011

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/12/2011