THERESA D DETERDING Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198905

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

DETERDING

Business Name

THERESA D DETERDING

Original Issue Date

06/15/2010

Effective Date

03/06/2012

Expiration Date

03/31/2013

City

MODOC

State

Zip

62261

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/06/2013