DAVID T THOM DPM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049225151

License Status

NOT RENEWED

Business

Title

DPM

First Name

DAVID

Middle

Last Name

THOM

Prefix

Business Name

DAVID T THOM DPM

Original Issue Date

05/14/2014

Effective Date

06/27/2017

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018