KELLY A GREEN-LEACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049109389

License Status

NOT RENEWED

Business

First Name

KELLY A

Last Name

GREEN-LEACH

Business Name

KELLY A GREEN-LEACH

Original Issue Date

01/25/1995

Effective Date

01/25/1995

Expiration Date

03/31/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2006