ANDREA E LEATHER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049154960

License Status

NOT RENEWED

Business

First Name

ANDREA

Middle

Last Name

LEATHER

Business Name

ANDREA E LEATHER

Original Issue Date

06/11/2004

Effective Date

06/11/2004

Expiration Date

03/31/2006

City

STILLMAN VALLEY

State

Zip

61084

County

OGLE

Ever Disciplined

LastModifiedDate

05/11/2006