LEROY IV PATRICK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049282690

License Status

NOT RENEWED

Business

First Name

LEROY IV

Last Name

PATRICK

Business Name

LEROY IV PATRICK

Original Issue Date

05/28/2021

Effective Date

03/05/2022

Expiration Date

03/31/2023

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

09/07/2023