THEODORA M VAUGHN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049197543

License Status

NOT RENEWED

Business

First Name

THEODORA

Middle

Last Name

VAUGHN

Business Name

THEODORA M VAUGHN

Original Issue Date

03/30/2010

Effective Date

03/16/2012

Expiration Date

03/31/2013

City

SUGAR GROVE

State

Zip

60554

County

KANE

Ever Disciplined

LastModifiedDate

05/06/2013