AMANDA M LEBAN - Pharmacist License in Illinois | # 049098591

AMANDA M LEBAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098591

License Status

NOT RENEWED

Business

N

First Name

AMANDA

Middle

M

Last Name

LEBAN

Business Name

AMANDA M LEBAN

Original Issue Date

11/05/1991

Effective Date

11/05/1991

Expiration Date

03/31/1999

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005