CODY A THIESSE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049189583

License Status

NOT RENEWED

Business

First Name

CODY

Middle

Last Name

THIESSE

Prefix

Business Name

CODY A THIESSE

Original Issue Date

02/10/2009

Effective Date

03/08/2010

Expiration Date

03/31/2011

City

BROOKFIELD

State

Zip

60513

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011