JENNIE MARY LATHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049072924

License Status

NOT RENEWED

Business

First Name

JENNIE MARY

Last Name

LATHAM

Business Name

JENNIE MARY LATHAM

Original Issue Date

05/09/1980

Effective Date

05/09/1980

Expiration Date

03/31/1982

City

MOUNT PROSPECT

State

Zip

60056

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005