BETHANY G THEOBALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049182709

License Status

NOT RENEWED

Business

First Name

BETHANY

Middle

Last Name

THEOBALD

Business Name

BETHANY G THEOBALD

Original Issue Date

03/21/2008

Effective Date

03/08/2013

Expiration Date

03/31/2014

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/06/2014