JOSEPHINE T LEUALLEN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049242959

License Status

NOT RENEWED

Business

First Name

JOSEPHINE

Middle

Last Name

LEUALLEN

Business Name

JOSEPHINE T LEUALLEN

Original Issue Date

07/06/2016

Effective Date

03/04/2020

Expiration Date

03/31/2021

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

07/20/2021