CHARLES D LEAKE - Pharmacist License in Illinois | # 049060574

CHARLES D LEAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060574

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005