SHANE M THEADO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049231600

License Status

NOT RENEWED

Business

First Name

SHANE

Middle

Last Name

THEADO

Business Name

SHANE M THEADO

Original Issue Date

03/10/2015

Effective Date

03/10/2015

Expiration Date

03/31/2016

City

CORTLAND

State

Zip

60112

County

DEKALB

Ever Disciplined

LastModifiedDate

05/20/2016