LESLIE V TARDECILLA - Pharmacist License in Illinois | # 049115664

LESLIE V TARDECILLA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115664

License Status

NOT RENEWED

Business

N

First Name

LESLIE

Middle

V

Last Name

TARDECILLA

Business Name

LESLIE V TARDECILLA

Original Issue Date

10/23/1996

Effective Date

10/23/1996

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005