LESLIE V TARDECILLA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115664

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

TARDECILLA

Business Name

LESLIE V TARDECILLA

Original Issue Date

10/23/1996

Effective Date

10/23/1996

Expiration Date

03/31/2003

City

BERWYN

State

Zip

60402

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005