LATRISHA LEANNE BRAZZLETON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049121159

License Status

NOT RENEWED

Business

First Name

LATRISHA

Middle

LEANNE

Last Name

BRAZZLETON

Business Name

LATRISHA LEANNE BRAZZLETON

Original Issue Date

05/22/1998

Effective Date

05/22/1998

Expiration Date

03/31/1999

City

GLENWOOD

State

Zip

60425

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005