ADRIENNE J LEISTEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144945

License Status

NOT RENEWED

Business

First Name

ADRIENNE

Middle

Last Name

LEISTEN

Business Name

ADRIENNE J LEISTEN

Original Issue Date

09/30/2002

Effective Date

02/02/2016

Expiration Date

03/31/2017

City

MONTGOMERY

State

Zip

60538

County

KENDALL

Ever Disciplined

LastModifiedDate

05/10/2017