JESSIE L LATHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049047425

License Status

NOT RENEWED

Business

First Name

JESSIE L

Last Name

LATHAM

Business Name

JESSIE L LATHAM

Original Issue Date

01/01/1997

Expiration Date

01/01/1997

City

URBANA

State

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005