LATASHA S HAYWOOD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049173527

License Status

NOT RENEWED

Business

First Name

LATASHA

Middle

Last Name

HAYWOOD

Business Name

LATASHA S HAYWOOD

Original Issue Date

01/10/2007

Effective Date

01/10/2007

Expiration Date

03/31/2008

City

CHICAGO

State

Zip

60643

Ever Disciplined

LastModifiedDate

05/02/2008