LESLIE A RIDDLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049102629

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

RIDDLE

Business Name

LESLIE A RIDDLE

Original Issue Date

03/08/1993

Effective Date

01/02/2009

Expiration Date

03/31/2010

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/04/2010