TYLER MATTHEW LEACH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188142

License Status

NOT RENEWED

Business

First Name

TYLER

Middle

MATTHEW

Last Name

LEACH

Business Name

TYLER MATTHEW LEACH

Original Issue Date

11/05/2008

Effective Date

11/05/2008

Expiration Date

03/31/2009

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/06/2009