LEILA SALEM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143600

License Status

NOT RENEWED

Business

First Name

LEILA

Last Name

SALEM

Business Name

LEILA SALEM

Original Issue Date

07/09/2002

Effective Date

07/09/2002

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005