ANNA LATA - Pharmacist License in Illinois | # 049112664

ANNA LATA

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112664

License Status

NOT RENEWED

Business

N

First Name

ANNA

Last Name

LATA

Business Name

ANNA LATA

Original Issue Date

12/06/1995

Effective Date

12/06/1995

Expiration Date

03/31/1996

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005