LEKISA L CROMNELL-DIBARROS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049141416

License Status

NOT RENEWED

Business

First Name

LEKISA

Middle

Last Name

CROMNELL-DIBARROS

Business Name

LEKISA L CROMNELL-DIBARROS

Original Issue Date

03/15/2002

Effective Date

03/15/2002

Expiration Date

03/31/2003

City

PEORIA

State

Zip

61605

County

PEORIA

Ever Disciplined

LastModifiedDate

10/20/2005