THEODORE JEROME MALECEK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051034639

License Status

NOT RENEWED

Business

First Name

THEODORE JEROME

Last Name

MALECEK

Business Name

THEODORE JEROME MALECEK

Original Issue Date

11/17/1982

Effective Date

11/17/1982

Expiration Date

03/31/1992

City

SANTA CLAUS

State

Zip

47579

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005