LESLIE F WALTZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261266

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

WALTZ

Business Name

LESLIE F WALTZ

Original Issue Date

11/05/2018

Effective Date

01/28/2019

Expiration Date

09/30/2020

City

DAVENPORT

State

Zip

52807

County

SCOTT

Ever Disciplined

LastModifiedDate

01/08/2021