EDWINA MARIE LEAK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075351

License Status

NOT RENEWED

Business

First Name

EDWINA MARIE

Last Name

LEAK

Business Name

EDWINA MARIE LEAK

Original Issue Date

09/28/1981

Effective Date

09/28/1981

Expiration Date

03/31/1984

City

CHICAGO

State

Zip

60636

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005