LESLIE E HALLSTROM - Pharmacist License in Illinois | # 049180892

LESLIE E HALLSTROM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180892

License Status

NOT RENEWED

Business

N

First Name

LESLIE

Middle

E

Last Name

HALLSTROM

Business Name

LESLIE E HALLSTROM

Original Issue Date

12/03/2007

Effective Date

12/03/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008