JAIDON LATREAL NANCE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049167806

License Status

NOT RENEWED

Business

First Name

JAIDON

Middle

LATREAL

Last Name

NANCE

Business Name

JAIDON LATREAL NANCE

Original Issue Date

04/13/2006

Effective Date

04/13/2006

Expiration Date

03/31/2007

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007