THEODORE R BREGENZER - Pharmacist License in Illinois | # 049202883

THEODORE R BREGENZER

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202883

License Status

NOT RENEWED

Business

N

First Name

THEODORE

Middle

R

Last Name

BREGENZER

Business Name

THEODORE R BREGENZER

Original Issue Date

02/23/2011

Effective Date

04/09/2012

Expiration Date

03/31/2013

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2013