JAMIE LATRICE CROMWELL - Pharmacist License in Illinois | # 049155480

JAMIE LATRICE CROMWELL

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155480

License Status

NOT RENEWED

Business

N

First Name

JAMIE

Middle

LATRICE

Last Name

CROMWELL

Business Name

JAMIE LATRICE CROMWELL

Original Issue Date

06/21/2004

Effective Date

06/21/2004

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005