MICHAEL CLANCY LATHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049073176

License Status

NOT RENEWED

Business

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

City

ELDORADO

State

Zip

62930

County

SALINE

Ever Disciplined

LastModifiedDate

10/17/2005