TANA LEEDS COLEMAN Pharmacist License verification

Business Entity

CANCELLED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061814

License Status

CANCELLED

Business

First Name

TANA LEEDS

Last Name

COLEMAN

Business Name

TANA LEEDS COLEMAN

Original Issue Date

06/28/1974

Effective Date

06/28/1974

Expiration Date

01/01/1997

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005