EDITH-TANAE LEAKE - Pharmacist License in Illinois | # 049087722

EDITH-TANAE LEAKE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049087722

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005