LESLEY A COUSSENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115962

License Status

NOT RENEWED

Business

First Name

LESLEY

Middle

Last Name

COUSSENS

Business Name

LESLEY A COUSSENS

Original Issue Date

11/14/1996

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

DAVENPORT

State

Zip

52807

Ever Disciplined

LastModifiedDate

05/02/2008