LATOSHA L BORUM Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202303

License Status

NOT RENEWED

Business

First Name

LATOSHA

Middle

Last Name

BORUM

Prefix

Business Name

LATOSHA L BORUM

Original Issue Date

01/13/2011

Effective Date

01/13/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60644

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012