LESLIE C WILLIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216032

License Status

NOT RENEWED

Business

First Name

LESLIE C

Last Name

WILLIS

Business Name

LESLIE C WILLIS

Original Issue Date

02/13/2013

Effective Date

03/03/2014

Expiration Date

03/31/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/11/2015