LESLIE E HALLSTROM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180892

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

HALLSTROM

Business Name

LESLIE E HALLSTROM

Original Issue Date

12/03/2007

Effective Date

12/03/2007

Expiration Date

03/31/2008

City

ALEDO

State

Zip

61231

County

MERCER

Ever Disciplined

LastModifiedDate

05/02/2008