SR M LEONISSA WOLETZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051017601

License Status

NOT RENEWED

Business

First Name

SR M LEONISSA

Last Name

WOLETZ

Business Name

SR M LEONISSA WOLETZ

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62705

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/17/2005