BRIAN D LEADINGHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049142618

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

Last Name

LEADINGHAM

Business Name

BRIAN D LEADINGHAM

Original Issue Date

05/28/2002

Effective Date

05/28/2002

Expiration Date

03/31/2005

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

10/20/2005