RUSSELL A LEEP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049114483

License Status

NOT RENEWED

Business

First Name

RUSSELL A

Last Name

LEEP

Business Name

RUSSELL A LEEP

Original Issue Date

06/25/1996

Effective Date

05/13/2022

Expiration Date

03/31/2023

City

HAMMOND

State

Zip

46323

County

INDIANA

Ever Disciplined

LastModifiedDate

09/07/2023