LETA L SMALL Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114133

License Status

NOT RENEWED

Business

First Name

LETA L

Last Name

SMALL

Business Name

LETA L SMALL

Original Issue Date

05/01/1996

Effective Date

05/01/1996

Expiration Date

03/31/2005

City

PRINCETON

State

Zip

61356

County

BUREAU

Ever Disciplined

LastModifiedDate

10/20/2005