LAURA ANN LEIPHAM Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

REGISTERED PHARMACIST

License Number

051295758

License Status

INACTIVE

Business

First Name

LAURA

Middle

ANN

Last Name

LEIPHAM

Business Name

LAURA ANN LEIPHAM

Original Issue Date

07/18/2012

Effective Date

02/13/2018

Expiration Date

09/30/2020

City

GRAND RAPIDS

State

Zip

49503

Ever Disciplined

LastModifiedDate

01/04/2020