JIMMY DALE LEIST Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129715

License Status

NOT RENEWED

Business

First Name

JIMMY

Middle

DALE

Last Name

LEIST

Business Name

JIMMY DALE LEIST

Original Issue Date

03/03/2000

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

EFFINGHAM

State

Zip

62401

County

EFFINGHAM

Ever Disciplined

LastModifiedDate

05/02/2008