KEITH CHARLES LATTIE - Pharmacist License in Illinois | # 049133884

KEITH CHARLES LATTIE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133884

License Status

NOT RENEWED

Business

N

First Name

KEITH

Middle

CHARLES

Last Name

LATTIE

Business Name

KEITH CHARLES LATTIE

Original Issue Date

12/05/2000

Effective Date

12/05/2000

Expiration Date

03/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005