LATRISSA MARIA FIELDS - Pharmacist License in Illinois | # 049152414

LATRISSA MARIA FIELDS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049152414

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/02/2008