MYRNA JEAN LATHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049188784

License Status

NOT RENEWED

Business

First Name

MYRNA

Middle

JEAN

Last Name

LATHAM

Business Name

MYRNA JEAN LATHAM

Original Issue Date

12/17/2008

Effective Date

02/04/2009

Expiration Date

03/31/2010

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

05/04/2010