TANGLA L LATHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049203210

License Status

NOT RENEWED

Business

First Name

TANGLA

Middle

Last Name

LATHAN

Prefix

Business Name

TANGLA L LATHAN

Original Issue Date

03/17/2011

Effective Date

03/17/2011

Expiration Date

03/31/2012

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

05/07/2012