CAROLYN M LEAVITT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049101030

License Status

NOT RENEWED

Business

First Name

CAROLYN M

Last Name

LEAVITT

Business Name

CAROLYN M LEAVITT

Original Issue Date

08/19/1992

Effective Date

08/19/1992

Expiration Date

03/31/1994

City

ROUND LAKE BEACH

State

Zip

60073

Ever Disciplined

LastModifiedDate

10/17/2005