ERIC M THIESE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202351

License Status

NOT RENEWED

Business

First Name

ERIC

Middle

Last Name

THIESE

Prefix

Business Name

ERIC M THIESE

Original Issue Date

01/18/2011

Effective Date

01/18/2011

Expiration Date

03/31/2012

City

WHEATON

State

Zip

60189

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/07/2012