THERESA S LEONHARDT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049165163

License Status

NOT RENEWED

Business

First Name

THERESA

Middle

Last Name

LEONHARDT

Business Name

THERESA S LEONHARDT

Original Issue Date

11/22/2005

Effective Date

11/22/2005

Expiration Date

03/31/2006

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/11/2006