LATOSHA L BORUM - Pharmacist License in Illinois | # 049202303

LATOSHA L BORUM

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049202303

License Status

NOT RENEWED

Business

N

First Name

LATOSHA

Middle

L

Last Name

BORUM

Prefix

MR

Business Name

LATOSHA L BORUM

Original Issue Date

01/13/2011

Effective Date

01/13/2011

Expiration Date

03/31/2012

State

IL

Ever Disciplined

N

LastModifiedDate

05/07/2012