CHARLES D LEAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060574

License Status

NOT RENEWED

Business

First Name

CHARLES D

Last Name

LEAKE

Business Name

CHARLES D LEAKE

Original Issue Date

11/09/1973

Effective Date

11/09/1973

Expiration Date

01/01/1997

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005