MARY A LATHAN - Pharmacist License in Illinois | # 049110897

MARY A LATHAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110897

License Status

NOT RENEWED

Business

N

First Name

MARY A

Last Name

LATHAN

Business Name

MARY A LATHAN

Original Issue Date

06/17/1995

Effective Date

06/17/1995

Expiration Date

03/31/1997

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005