CHARLES LEROY BUCKLES JR Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049059397

License Status

CANCELLED

Business

First Name

CHARLES LEROY

Last Name

BUCKLES JR

Business Name

CHARLES LEROY BUCKLES JR

Original Issue Date

04/24/1973

Effective Date

04/24/1973

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005