LATRISSA MARIA FIELDS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152414

License Status

NOT RENEWED

Business

First Name

LATRISSA

Middle

MARIA

Last Name

FIELDS

Business Name

LATRISSA MARIA FIELDS

Original Issue Date

12/10/2003

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008