Pharmacist
PHARMACY TECHNICIAN
049082663
NOT RENEWED
N
LEIGH A
BARTH
LEIGH A BARTH
05/16/1986
03/31/1991
ITASCA
IL
60143
COOK
Y
10/17/2005
1990004194
Termination
01/03/1991
Submitted a non-bankable remittance to the Department.