LETICIA M SANTOS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049060784

License Status

NOT RENEWED

Business

First Name

LETICIA M

Last Name

SANTOS

Business Name

LETICIA M SANTOS

Original Issue Date

01/02/1974

Effective Date

01/02/1974

Expiration Date

01/01/1997

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

10/17/2005