KENISHA LATWAN STEPHENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049119568

License Status

NOT RENEWED

Business

First Name

KENISHA

Middle

LATWAN

Last Name

STEPHENS

Business Name

KENISHA LATWAN STEPHENS

Original Issue Date

12/12/1997

Effective Date

12/12/1997

Expiration Date

03/31/2000

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005