LATASHIA P TRAYLOR Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049150977

License Status

NOT RENEWED

Business

First Name

LATASHIA

Middle

Last Name

TRAYLOR

Business Name

LATASHIA P TRAYLOR

Original Issue Date

09/25/2003

Effective Date

09/25/2003

Expiration Date

03/31/2005

City

CHICAGO

State

Zip

60649

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005