LATANZA N BOLDEN Pharmacist License verification

Business Entity

INACTIVE

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049155302

License Status

INACTIVE

Business

First Name

LATANZA

Middle

Last Name

BOLDEN

Business Name

LATANZA N BOLDEN

Original Issue Date

06/17/2004

Effective Date

03/19/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60642

County

COOK

Ever Disciplined

LastModifiedDate

01/05/2011