LORENA LEATH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049237726

License Status

NOT RENEWED

Business

First Name

LORENA

Last Name

LEATH

Business Name

LORENA LEATH

Original Issue Date

11/17/2015

Effective Date

03/03/2016

Expiration Date

03/31/2017

City

ROSCOE

State

Zip

61073

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

05/10/2017