JAKE S LATHAM - Pharmacist License in Illinois | # 049178117

JAKE S LATHAM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049178117

License Status

NOT RENEWED

Business

N

First Name

JAKE

Middle

S

Last Name

LATHAM

Business Name

JAKE S LATHAM

Original Issue Date

07/27/2007

Effective Date

06/10/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014