JOHN C THEOBALD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051040297

License Status

NOT RENEWED

Business

First Name

JOHN C

Last Name

THEOBALD

Business Name

JOHN C THEOBALD

Original Issue Date

08/10/1995

Effective Date

03/02/2010

Expiration Date

03/31/2012

City

SPARTA

State

Zip

62286

County

RANDOLPH

Ever Disciplined

LastModifiedDate

05/07/2012