LYLE EDWARD LEITHOLT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051027234

License Status

NOT RENEWED

Business

First Name

LYLE EDWARD

Last Name

LEITHOLT

Business Name

LYLE EDWARD LEITHOLT

Original Issue Date

01/01/1997

Expiration Date

03/31/1988

City

COLUMBUS

State

Zip

47203

County

INDIANA

Ever Disciplined

LastModifiedDate

10/17/2005