JACQUELINE RENA LEICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049105464

License Status

NOT RENEWED

Business

First Name

JACQUELINE RENA

Last Name

LEICH

Business Name

JACQUELINE RENA LEICH

Original Issue Date

12/08/1993

Effective Date

12/08/1993

Expiration Date

03/31/1994

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005