CHARAE S THIES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051290902

License Status

NOT RENEWED

Business

First Name

CHARAE

Middle

Last Name

THIES

Business Name

CHARAE S THIES

Original Issue Date

02/04/2005

Effective Date

02/01/2016

Expiration Date

03/31/2018

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/19/2018