Indiana
Professional Licensing Agency
LEE C THEOBALD
Pharmacist
License number
26011703A
Date granted
10/29/1963
Date expires
06/30/2008
Class
Pharmacist
Status
Expired
Address
FORT WAYNE IN 46805
indianalicensing.org
ID 8292816
LAST UPDATED 2026-05-07 09:53:57 UTC
LAST UPDATED 2026-05-07 09:53:57 UTC
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