LATONIA LATRICE SWAIN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049129062

License Status

NOT RENEWED

Business

First Name

LATONIA

Middle

LATRICE

Last Name

SWAIN

Business Name

LATONIA LATRICE SWAIN

Original Issue Date

01/31/2000

Effective Date

01/31/2000

Expiration Date

03/31/2001

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/21/2005