THEODORE M GIBA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051028758

License Status

INACTIVE

Business

First Name

THEODORE M

Last Name

GIBA

Business Name

THEODORE M GIBA

Original Issue Date

01/01/1997

Effective Date

03/01/2012

Expiration Date

03/31/2014

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/09/2014