THEODORE R BREGENZER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202883

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

Last Name

BREGENZER

Business Name

THEODORE R BREGENZER

Original Issue Date

02/23/2011

Effective Date

04/09/2012

Expiration Date

03/31/2013

City

WAUCONDA

State

Zip

60084

County

LAKE

Ever Disciplined

LastModifiedDate

05/06/2013