NICOLE MARIE LEITNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263597

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

LEITNER

Business Name

NICOLE MARIE LEITNER

Original Issue Date

02/28/2019

Effective Date

02/28/2019

Expiration Date

09/30/2020

City

PEKIN

State

Zip

61554

County

TAZEWELL

Ever Disciplined

LastModifiedDate

01/08/2021