JULIA NICOLE LEIBOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049140133

License Status

NOT RENEWED

Business

First Name

JULIA

Middle

NICOLE

Last Name

LEIBOLD

Business Name

JULIA NICOLE LEIBOLD

Original Issue Date

01/17/2002

Effective Date

01/17/2002

Expiration Date

03/31/2003

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/20/2005