LESLIE CARL VONBERGEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049048381

License Status

NOT RENEWED

Business

First Name

LESLIE CARL

Last Name

VONBERGEN

Business Name

LESLIE CARL VONBERGEN

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

INGLESIDE

State

Zip

60041

County

LAKE

Ever Disciplined

LastModifiedDate

10/17/2005