THEODORE ROOSEVELT MAYES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049131825

License Status

NOT RENEWED

Business

First Name

THEODORE

Middle

ROOSEVELT

Last Name

MAYES

Business Name

THEODORE ROOSEVELT MAYES

Original Issue Date

07/27/2000

Effective Date

07/27/2000

Expiration Date

03/31/2005

City

HEBRON

State

Zip

46341

County

INDIANA

Ever Disciplined

LastModifiedDate

10/20/2005