License holder summary

WAYNE E THEOBALD is a Pharmacist licensed to practice in Indiana. The address on file for WAYNE E THEOBALD is PORTAGE MI 49081. This licensed professional license is not current. The license was granted 08/03/1953 and expired on 06/30/1978.

Indiana

Professional Licensing Agency

WAYNE E THEOBALD
Pharmacist
License number
26010234A
Date granted
08/03/1953
Date expires
06/30/1978
Class
Pharmacist
Status
Expired Non-Renewable
Address
PORTAGE MI 49081
indianalicensing.org
ID 8298207
LAST UPDATED 2024-02-10 13:32:10 UTC

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