DAGNE MACIE LEIVA - Pharmacist License in Illinois | # 049288747

DAGNE MACIE LEIVA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288747

License Status

NOT RENEWED

Business

N

First Name

DAGNE

Middle

MACIE

Last Name

LEIVA

Business Name

DAGNE MACIE LEIVA

Original Issue Date

12/09/2021

Effective Date

11/22/2022

Expiration Date

03/31/2023

State

IL

Ever Disciplined

N

LastModifiedDate

09/07/2023