LATISA MARIA WYNN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049169805

License Status

NOT RENEWED

Business

First Name

LATISA

Middle

MARIA

Last Name

WYNN

Business Name

LATISA MARIA WYNN

Original Issue Date

07/06/2006

Effective Date

07/06/2006

Expiration Date

03/31/2007

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

05/14/2007