AMY LYN LEIDIG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049160425

License Status

NOT RENEWED

Business

First Name

AMY

Middle

LYN

Last Name

LEIDIG

Business Name

AMY LYN LEIDIG

Original Issue Date

04/21/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

ST CHARLES

State

Zip

60174

County

KANE

Ever Disciplined

LastModifiedDate

05/02/2008