LATASHA M SMITH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049153855

License Status

NOT RENEWED

Business

First Name

LATASHA

Middle

Last Name

SMITH

Business Name

LATASHA M SMITH

Original Issue Date

03/23/2004

Effective Date

03/23/2004

Expiration Date

03/31/2005

City

MAYWOOD

State

Zip

60153

County

COOK

Ever Disciplined

LastModifiedDate

10/20/2005