CRISTA JO LEIBOLD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049156605

License Status

NOT RENEWED

Business

First Name

CRISTA

Middle

Last Name

LEIBOLD

Business Name

CRISTA JO LEIBOLD

Original Issue Date

08/13/2004

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

DEKALB

State

Zip

60115

County

DEKALB

Ever Disciplined

LastModifiedDate

05/14/2007