DIVA LEONHARDT Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051011527

License Status

INACTIVE

Business

First Name

DIVA

Last Name

LEONHARDT

Business Name

DIVA LEONHARDT

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005