CANDICE C LATESSA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049086077

License Status

NOT RENEWED

Business

First Name

CANDICE C

Last Name

LATESSA

Business Name

CANDICE C LATESSA

Original Issue Date

02/18/1988

Effective Date

02/18/1988

Expiration Date

03/31/1993

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005