LESLIE ANN BUSH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049122329

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

ANN

Last Name

BUSH

Business Name

LESLIE ANN BUSH

Original Issue Date

08/06/1998

Effective Date

08/06/1998

Expiration Date

03/31/2000

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/21/2005