LATAYTA DANIELLE TERRY - Pharmacist License in Illinois | # 049129060

LATAYTA DANIELLE TERRY

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129060

License Status

NOT RENEWED

Business

N

First Name

LATAYTA

Middle

DANIELLE

Last Name

TERRY

Business Name

LATAYTA DANIELLE TERRY

Original Issue Date

01/28/2000

Effective Date

01/28/2000

Expiration Date

03/31/2001

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005