KEENAN LYNN LEESMAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121955

License Status

NOT RENEWED

Business

First Name

KEENAN

Middle

LYNN

Last Name

LEESMAN

Business Name

KEENAN LYNN LEESMAN

Original Issue Date

07/14/1998

Effective Date

07/14/1998

Expiration Date

03/31/1999

City

ATLANTA

State

Zip

61723

County

LOGAN

Ever Disciplined

LastModifiedDate

10/17/2005