TANA LEEDS COLEMAN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051031679

License Status

INACTIVE

Business

First Name

TANA LEEDS

Last Name

COLEMAN

Business Name

TANA LEEDS COLEMAN

Original Issue Date

08/18/1977

Effective Date

02/01/2018

Expiration Date

09/30/2020

City

MOUNT CARMEL

State

Zip

62863

County

WABASH

Ever Disciplined

LastModifiedDate

01/04/2020