KELLY KRISTINE LEYBA Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051296373

License Status

INACTIVE

Business

First Name

KELLY

Middle

KRISTINE

Last Name

LEYBA

Business Name

KELLY KRISTINE LEYBA

Original Issue Date

11/20/2012

Effective Date

11/20/2012

Expiration Date

03/31/2014

City

PEORIA

State

Zip

85383

County

ARIZONA

Ever Disciplined

LastModifiedDate

01/09/2014