MYRNA LEACH STANBACK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161086

License Status

NOT RENEWED

Business

First Name

MYRNA

Middle

LEACH

Last Name

STANBACK

Business Name

MYRNA LEACH STANBACK

Original Issue Date

05/17/2005

Effective Date

05/17/2005

Expiration Date

03/31/2006

City

CARBONDALE

State

Zip

62902

County

JACKSON

Ever Disciplined

LastModifiedDate

05/11/2006