RALPH I LATTA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049115227

License Status

NOT RENEWED

Business

First Name

RALPH I

Last Name

LATTA

Business Name

RALPH I LATTA

Original Issue Date

09/11/1996

Effective Date

09/11/1996

Expiration Date

03/31/1997

City

BENTON

State

Zip

62812

County

FRANKLIN

Ever Disciplined

LastModifiedDate

10/17/2005