THERESA L CARROLL-IVES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198883

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

CARROLL-IVES

Business Name

THERESA L CARROLL-IVES

Original Issue Date

06/14/2010

Effective Date

03/10/2011

Expiration Date

03/31/2012

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/07/2012