KEITH CHARLES LATTIE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049133884

License Status

NOT RENEWED

Business

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

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005