JAIME L LATINA Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049161730

License Status

NOT RENEWED

Business

First Name

JAIME

Middle

Last Name

LATINA

Business Name

JAIME L LATINA

Original Issue Date

06/16/2005

Effective Date

12/22/2014

Expiration Date

03/31/2015

City

WOOD DALE

State

Zip

60191

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/11/2015