LATARA MOON Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049206139

License Status

NOT RENEWED

Business

First Name

LATARA

Last Name

MOON

Prefix

Business Name

LATARA MOON

Original Issue Date

08/22/2011

Effective Date

03/22/2012

Expiration Date

03/31/2013

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2013