MARY A LATHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049110897

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005