KRISTINA MAE LEEPER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162661

License Status

NOT RENEWED

Business

First Name

KRISTINA

Middle

MAE

Last Name

LEEPER

Business Name

KRISTINA MAE LEEPER

Original Issue Date

08/02/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

PEKIN

State

Zip

61555

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/02/2008