MATTHEW LEIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237558

License Status

NOT RENEWED

Business

First Name

MATTHEW

Last Name

LEIS

Prefix

Business Name

MATTHEW LEIS

Original Issue Date

11/09/2015

Effective Date

11/09/2015

Expiration Date

03/31/2016

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/20/2016