MICHAEL SCOTT LATA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049116845

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

SCOTT

Last Name

LATA

Business Name

MICHAEL SCOTT LATA

Original Issue Date

03/18/1997

Effective Date

03/18/1997

Expiration Date

03/31/1998

City

SCHAUMBURG

State

Zip

60173

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005