LESLIE A BACON - Pharmacist License in Illinois | # 049194341

LESLIE A BACON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194341

License Status

NOT RENEWED

Business

N

First Name

LESLIE

Middle

A

Last Name

BACON

Prefix

MR

Business Name

LESLIE A BACON

Original Issue Date

09/18/2009

Effective Date

01/14/2010

Expiration Date

03/31/2011

State

IL

Ever Disciplined

N

LastModifiedDate

05/12/2011