THEODORE R PARKER Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051036219

License Status

INACTIVE

Business

First Name

THEODORE R

Last Name

PARKER

Business Name

THEODORE R PARKER

Original Issue Date

08/18/1986

Effective Date

08/18/1986

Expiration Date

03/31/1994

City

VILLA GROVE

State

Zip

61956

County

DOUGLAS

Ever Disciplined

LastModifiedDate

10/17/2005