EVA LATASIEWICZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049144539

License Status

NOT RENEWED

Business

First Name

EVA

Last Name

LATASIEWICZ

Business Name

EVA LATASIEWICZ

Original Issue Date

09/06/2002

Effective Date

09/06/2002

Expiration Date

03/31/2003

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005