MICHAEL CLANCY LATHAM - Pharmacist License in Illinois | # 049073176

MICHAEL CLANCY LATHAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073176

License Status

NOT RENEWED

Business

N

First Name

MICHAEL CLANCY

Last Name

LATHAM

Business Name

MICHAEL CLANCY LATHAM

Original Issue Date

06/27/1980

Effective Date

06/27/1980

Expiration Date

03/31/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005