ANNA LATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049112664

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60638

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005