MARY DIANE LATHROP Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049068138

License Status

NOT RENEWED

Business

First Name

MARY DIANE

Last Name

LATHROP

Business Name

MARY DIANE LATHROP

Original Issue Date

09/23/1977

Effective Date

09/23/1977

Expiration Date

01/01/1997

City

TOLONO

State

Zip

61880

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005