LESLIE K MATULEVICH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049157119

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

MATULEVICH

Business Name

LESLIE K MATULEVICH

Original Issue Date

09/03/2004

Effective Date

03/11/2011

Expiration Date

03/31/2012

City

SHERMAN

State

Zip

62684

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/07/2012