LATASHA CLARK Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049162186

License Status

NOT RENEWED

Business

First Name

LATASHA

Last Name

CLARK

Business Name

LATASHA CLARK

Original Issue Date

07/12/2005

Effective Date

03/24/2009

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60652

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010