LESLEY W MAGNA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161916

License Status

NOT RENEWED

Business

First Name

LESLEY

Middle

Last Name

MAGNA

Business Name

LESLEY W MAGNA

Original Issue Date

06/24/2005

Effective Date

01/19/2006

Expiration Date

03/31/2007

City

ROUND LAKE

State

Zip

60073

County

LAKE

Ever Disciplined

LastModifiedDate

05/14/2007