TAMI RENEE LEUTLOFF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143968

License Status

NOT RENEWED

Business

First Name

TAMI

Middle

RENEE

Last Name

LEUTLOFF

Business Name

TAMI RENEE LEUTLOFF

Original Issue Date

08/01/2002

Effective Date

08/01/2002

Expiration Date

03/31/2006

City

AROMA PARK

State

Zip

60910

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/11/2006