LESLIE A WOMACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049091063

License Status

NOT RENEWED

Business

First Name

LESLIE A

Last Name

WOMACK

Business Name

LESLIE A WOMACK

Original Issue Date

08/30/1989

Effective Date

01/14/2019

Expiration Date

09/30/2020

City

WASHBURN

State

Zip

61570

County

WOODFORD

Ever Disciplined

LastModifiedDate

01/08/2021