LESLIE KEENER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152913

License Status

NOT RENEWED

Business

First Name

LESLIE

Last Name

KEENER

Business Name

LESLIE KEENER

Original Issue Date

01/16/2004

Effective Date

02/07/2012

Expiration Date

03/31/2013

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

05/06/2013