THEODORE E UKLEJA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034405

License Status

INACTIVE

Business

First Name

THEODORE E

Last Name

UKLEJA

Business Name

THEODORE E UKLEJA

Original Issue Date

08/10/1982

Effective Date

03/12/2018

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61615

County

PEORIA

Ever Disciplined

LastModifiedDate

01/04/2020