ERICA A LATHAM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049201858

License Status

NOT RENEWED

Business

First Name

ERICA

Middle

Last Name

LATHAM

Business Name

ERICA A LATHAM

Original Issue Date

12/08/2010

Effective Date

02/24/2011

Expiration Date

03/31/2012

City

SAVOY

State

Zip

61874

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

05/07/2012