LATANYA D COOLEY MICKENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049130675

License Status

NOT RENEWED

Business

First Name

LATANYA

Middle

Last Name

COOLEY MICKENS

Business Name

LATANYA D COOLEY MICKENS

Original Issue Date

04/25/2000

Effective Date

04/25/2000

Expiration Date

03/31/2002

City

COUNTRY CLUB HILLS

State

Zip

60478

County

COOK

Ever Disciplined

LastModifiedDate

12/06/2005