LETA L SMALL - Pharmacist License in Illinois | # 049114133

LETA L SMALL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114133

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005