License Directory

Loren Edward Leiseberg

Expired

Illinois license 051029200

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
051029200
Status
Expired (Not Renewed)
First issued
August 5, 1972
Expired
July 31, 2022
License holder
Loren Edward Leiseberg
Entity type
Individual

Classifications

  • Registered Pharmacist (Pharmacy) Pharmacy

More from the license record

Current term began
01/04/2020

Other Illinois licenses under this name

Contact

Bloomington, IL 61705
McLean County