SHENIKA LATECCE BOHANNON - Pharmacist License in Illinois | # 049143336

SHENIKA LATECCE BOHANNON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049143336

License Status

NOT RENEWED

Business

N

First Name

SHENIKA

Middle

LATECCE

Last Name

BOHANNON

Business Name

SHENIKA LATECCE BOHANNON

Original Issue Date

06/25/2002

Effective Date

06/25/2002

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005