LESLYE ANN MACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049215156

License Status

NOT RENEWED

Business

First Name

LESLYE

Middle

ANN

Last Name

MACK

Business Name

LESLYE ANN MACK

Original Issue Date

12/24/2012

Effective Date

01/21/2014

Expiration Date

03/31/2015

City

PHOENIX

State

Zip

85012

Ever Disciplined

LastModifiedDate

05/11/2015