LEIA ALYSSE STEVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049249445

License Status

NOT RENEWED

Business

First Name

LEIA

Middle

ALYSSE

Last Name

STEVENS

Business Name

LEIA ALYSSE STEVENS

Original Issue Date

03/28/2017

Effective Date

03/28/2017

Expiration Date

03/31/2018

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

06/19/2018