LYLE EDWARD LEITHOLT - Pharmacist License in Indiana | # 051027234

LYLE EDWARD LEITHOLT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027234

License Status

NOT RENEWED

Business

N

First Name

LYLE EDWARD

Last Name

LEITHOLT

Business Name

LYLE EDWARD LEITHOLT

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

State

IN

Ever Disciplined

N

LastModifiedDate

10/17/2005