LESLIE A LADAGE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049183345

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

LADAGE

Prefix

Business Name

LESLIE A LADAGE

Original Issue Date

04/04/2008

Effective Date

04/02/2012

Expiration Date

03/31/2013

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2013