ELIZABETH D THEOBALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049191952

License Status

NOT RENEWED

Business

First Name

ELIZABETH

Middle

Last Name

THEOBALD

Business Name

ELIZABETH D THEOBALD

Original Issue Date

05/27/2009

Effective Date

02/26/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011