EDITH-TANAE LEAKE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087722

License Status

NOT RENEWED

Business

First Name

EDITH-TANAE

Last Name

LEAKE

Business Name

EDITH-TANAE LEAKE

Original Issue Date

09/03/1988

Effective Date

09/03/1988

Expiration Date

03/31/1997

City

SWANSEA

State

Zip

62220

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005