LESLIE D CLAYCOMB JR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049216802

License Status

NOT RENEWED

Business

First Name

LESLIE D

Last Name

CLAYCOMB

Suffix

Business Name

LESLIE D CLAYCOMB JR

Original Issue Date

03/27/2013

Effective Date

03/27/2013

Expiration Date

03/31/2014

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

05/06/2014