PATRICE L LEUPOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049084751

License Status

NOT RENEWED

Business

First Name

PATRICE

Middle

Last Name

LEUPOLD

Business Name

PATRICE L LEUPOLD

Original Issue Date

07/13/1987

Effective Date

07/13/1987

Expiration Date

03/31/1992

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

10/17/2005