EZRA THOMAS THACKER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049301580

License Status

NOT RENEWED

Business

First Name

EZRA

Middle

THOMAS

Last Name

THACKER

Business Name

EZRA THOMAS THACKER

Original Issue Date

04/19/2023

Effective Date

04/19/2023

Expiration Date

03/31/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/03/2025