LATARA RL COLLINS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049198656

License Status

NOT RENEWED

Business

First Name

LATARA

Middle

Last Name

COLLINS

Prefix

Business Name

LATARA RL COLLINS

Original Issue Date

06/03/2010

Effective Date

06/03/2010

Expiration Date

03/31/2011

City

CICERO

State

Zip

60804

County

COOK

Ever Disciplined

LastModifiedDate

05/12/2011