MARK S TEDROW Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051033423

License Status

INACTIVE

Business

First Name

MARK

Middle

Last Name

TEDROW

Business Name

MARK S TEDROW

Original Issue Date

09/15/1980

Effective Date

03/08/2012

Expiration Date

03/31/2014

City

STERLING

State

Zip

61081

County

WHITESIDE

Ever Disciplined

LastModifiedDate

03/08/2012

Case Number

2003006443

Action

Fine

Discipline Start Date

03/17/2005

Discipline Reason

Attempted to forge three prescriptions, including three Phenobarbitals, a Schedule IV controlled substance, for his dog.