LESLIE A BACON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049194341

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

BACON

Prefix

Business Name

LESLIE A BACON

Original Issue Date

09/18/2009

Effective Date

01/14/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011