LEAH M BRUCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152574

License Status

NOT RENEWED

Business

First Name

LEAH

Middle

Last Name

BRUCE

Business Name

LEAH M BRUCE

Original Issue Date

12/18/2003

Effective Date

12/18/2003

Expiration Date

03/31/2005

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/20/2005