CODY MICHAEL LERETTE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049235023

License Status

NOT RENEWED

Business

First Name

CODY

Middle

MICHAEL

Last Name

LERETTE

Business Name

CODY MICHAEL LERETTE

Original Issue Date

07/28/2015

Effective Date

05/09/2019

Expiration Date

09/30/2020

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

01/08/2021