DENISE ALEXIA LATHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061480

License Status

NOT RENEWED

Business

First Name

DENISE ALEXIA

Last Name

LATHAN

Business Name

DENISE ALEXIA LATHAN

Original Issue Date

05/17/1974

Effective Date

05/17/1974

Expiration Date

01/01/1997

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005