JEANNE MARIE LEIBENGOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049077404

License Status

NOT RENEWED

Business

First Name

JEANNE MARIE

Last Name

LEIBENGOOD

Business Name

JEANNE MARIE LEIBENGOOD

Original Issue Date

11/19/1982

Effective Date

11/19/1982

Expiration Date

03/31/1984

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005