LOREN EDWARD LEISEBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049053937

License Status

NOT RENEWED

Business

First Name

LOREN EDWARD

Last Name

LEISEBERG

Business Name

LOREN EDWARD LEISEBERG

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

10/17/2005