LESLIE R QUALLS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206757

License Status

NOT RENEWED

Business

First Name

LESLIE

Middle

Last Name

QUALLS

Prefix

Business Name

LESLIE R QUALLS

Original Issue Date

09/19/2011

Effective Date

09/19/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012