LATISHA LENA BENNETT - Pharmacist License in Illinois | # 049161375

LATISHA LENA BENNETT

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161375

License Status

NOT RENEWED

Business

N

First Name

LATISHA

Middle

LENA

Last Name

BENNETT

Business Name

LATISHA LENA BENNETT

Original Issue Date

05/31/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008