HEAVEN LEIGH LEGARDA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049193779

License Status

NOT RENEWED

Business

First Name

HEAVEN

Middle

LEIGH

Last Name

LEGARDA

Business Name

HEAVEN LEIGH LEGARDA

Original Issue Date

08/21/2009

Effective Date

03/15/2010

Expiration Date

03/31/2011

City

PEORIA

State

Zip

61603

County

PEORIA

Ever Disciplined

LastModifiedDate

05/12/2011