JAKE S LATHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178117

License Status

NOT RENEWED

Business

First Name

JAKE

Middle

Last Name

LATHAM

Business Name

JAKE S LATHAM

Original Issue Date

07/27/2007

Effective Date

06/10/2013

Expiration Date

03/31/2014

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

05/06/2014