THOMAS LEON CHAMPION Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049136564

License Status

NOT RENEWED

Business

First Name

THOMAS

Middle

LEON

Last Name

CHAMPION

Business Name

THOMAS LEON CHAMPION

Original Issue Date

06/05/2001

Effective Date

06/05/2001

Expiration Date

03/31/2004

City

MONTICELLO

State

Zip

61856

County

PIATT

Ever Disciplined

LastModifiedDate

10/20/2005