LEIA L BERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049124039

License Status

NOT RENEWED

Business

First Name

LEIA

Middle

Last Name

BERRY

Business Name

LEIA L BERRY

Original Issue Date

12/07/1998

Effective Date

12/07/1998

Expiration Date

03/31/1999

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005