LATISHA LENA BENNETT Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161375

License Status

NOT RENEWED

Business

First Name

LATISHA

Middle

LENA

Last Name

BENNETT

Business Name

LATISHA LENA BENNETT

Original Issue Date

05/31/2005

Effective Date

01/09/2007

Expiration Date

03/31/2008

City

CALUMET CITY

State

Zip

60409

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2008