CANDACE RENE LATIMORE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148443

License Status

NOT RENEWED

Business

First Name

CANDACE

Middle

RENE

Last Name

LATIMORE

Business Name

CANDACE RENE LATIMORE

Original Issue Date

05/06/2003

Effective Date

05/06/2003

Expiration Date

03/31/2005

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/20/2005