LATASHIA P TRAYLOR - Pharmacist License in Illinois | # 049150977

LATASHIA P TRAYLOR

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150977

License Status

NOT RENEWED

Business

N

First Name

LATASHIA

Middle

P

Last Name

TRAYLOR

Business Name

LATASHIA P TRAYLOR

Original Issue Date

09/25/2003

Effective Date

09/25/2003

Expiration Date

03/31/2005

State

IL

Ever Disciplined

N

LastModifiedDate

10/20/2005