LATAYTA DANIELLE TERRY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129060

License Status

NOT RENEWED

Business

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

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/21/2005