LATRICE D GRAHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049148570

License Status

NOT RENEWED

Business

First Name

LATRICE

Middle

Last Name

GRAHAM

Business Name

LATRICE D GRAHAM

Original Issue Date

05/16/2003

Effective Date

05/16/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005