DIANE KAY LEAF Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049260200

License Status

NOT RENEWED

Business

First Name

DIANE

Middle

KAY

Last Name

LEAF

Business Name

DIANE KAY LEAF

Original Issue Date

09/26/2018

Effective Date

02/13/2019

Expiration Date

09/30/2020

City

BOURBONNAISE

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

01/08/2021