SAMANTHA ANNE LEIDNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122223

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ANNE

Last Name

LEIDNER

Business Name

SAMANTHA ANNE LEIDNER

Original Issue Date

08/04/1998

Effective Date

08/04/1998

Expiration Date

03/31/2001

City

CHICAGO RIDGE

State

Zip

60415

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005