MARY LUCILLE LEIBACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049113256

License Status

NOT RENEWED

Business

First Name

MARY LUCILLE

Last Name

LEIBACH

Business Name

MARY LUCILLE LEIBACH

Original Issue Date

02/01/1996

Effective Date

02/01/1996

Expiration Date

03/31/1998

City

NORMAL

State

Zip

61761

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/17/2005