LATASHA C MONTGOMERY Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049180834

License Status

NOT RENEWED

Business

First Name

LATASHA

Middle

Last Name

MONTGOMERY

Business Name

LATASHA C MONTGOMERY

Original Issue Date

11/30/2007

Effective Date

03/01/2010

Expiration Date

03/31/2011

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011