TIMOTHY A LEICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110809

License Status

NOT RENEWED

Business

First Name

TIMOTHY

Middle

Last Name

LEICH

Business Name

TIMOTHY A LEICH

Original Issue Date

06/12/1995

Effective Date

06/12/1995

Expiration Date

03/31/1998

City

LINCOLN

State

Zip

62656

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005