LESLIE DOCHTERMANN - Pharmacist License in Illinois | # 049061510

LESLIE DOCHTERMANN

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061510

License Status

CANCELLED

Business

N

First Name

LESLIE

Last Name

DOCHTERMANN

Business Name

LESLIE DOCHTERMANN

Original Issue Date

05/24/1974

Effective Date

05/24/1974

Expiration Date

01/01/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005