GRANT THEISEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251048

License Status

NOT RENEWED

Business

First Name

GRANT

Last Name

THEISEN

Business Name

GRANT THEISEN

Original Issue Date

06/05/2017

Effective Date

06/05/2017

Expiration Date

03/31/2018

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

06/19/2018