LATASHA M BOOTHE - Pharmacist License in Illinois | # 049195212

LATASHA M BOOTHE

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049195212

License Status

NOT RENEWED

Business

N

First Name

LATASHA

Middle

M

Last Name

BOOTHE

Business Name

LATASHA M BOOTHE

Original Issue Date

11/09/2009

Effective Date

11/09/2009

Expiration Date

03/31/2010

State

IL

Ever Disciplined

N

LastModifiedDate

05/04/2010