DAGNE MACIE LEIVA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049288747

License Status

NOT RENEWED

Business

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

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

09/07/2023