LESLIE S SIPES Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049075895

License Status

NOT RENEWED

Business

First Name

LESLIE S

Last Name

SIPES

Business Name

LESLIE S SIPES

Original Issue Date

01/14/1982

Effective Date

01/14/1982

Expiration Date

03/31/1990

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005