AMANDA M LEBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049098591

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

LEBAN

Business Name

AMANDA M LEBAN

Original Issue Date

11/05/1991

Effective Date

11/05/1991

Expiration Date

03/31/1999

City

WESTMONT

State

Zip

60559

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/17/2005