SUSAN K LEICHTENBERG Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049209741

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

Last Name

LEICHTENBERG

Business Name

SUSAN K LEICHTENBERG

Original Issue Date

03/15/2012

Effective Date

01/17/2013

Expiration Date

03/31/2014

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2014