CHARLISE RAE LEESMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049056899

License Status

NOT RENEWED

Business

First Name

CHARLISE RAE

Last Name

LEESMAN

Business Name

CHARLISE RAE LEESMAN

Original Issue Date

01/01/1997

Expiration Date

03/31/1984

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005