DONNA L LEEZY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109193

License Status

NOT RENEWED

Business

First Name

DONNA L

Last Name

LEEZY

Business Name

DONNA L LEEZY

Original Issue Date

01/10/1995

Effective Date

03/11/2015

Expiration Date

03/31/2016

City

MARYVILLE

State

Zip

62062

County

MADISON

Ever Disciplined

LastModifiedDate

05/20/2016