LATRICE D GRAHAM - Pharmacist License in Illinois | # 049148570

LATRICE D GRAHAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148570

License Status

NOT RENEWED

Business

N

First Name

LATRICE

Middle

D

Last Name

GRAHAM

Business Name

LATRICE D GRAHAM

Original Issue Date

05/16/2003

Effective Date

05/16/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005