DENISE ALEXIA LATHAN - Pharmacist License in Illinois | # 049061480

DENISE ALEXIA LATHAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049061480

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005