LAUREN MICHELE THIESFELD DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194364

License Status

NOT RENEWED

Business

Title

First Name

LAUREN

Middle

MICHELE

Last Name

THIESFELD

Business Name

LAUREN MICHELE THIESFELD DO

Original Issue Date

09/21/2009

Effective Date

03/22/2012

Expiration Date

03/31/2013

City

CLARENDON HILLS

State

Zip

60514

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/06/2013