LATISHA D STEVENSON - Pharmacist License in Illinois | # 049211441

LATISHA D STEVENSON

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049211441

License Status

NOT RENEWED

Business

N

First Name

LATISHA

Middle

D

Last Name

STEVENSON

Business Name

LATISHA D STEVENSON

Original Issue Date

06/01/2012

Effective Date

02/26/2013

Expiration Date

03/31/2014

State

IL

Ever Disciplined

N

LastModifiedDate

05/06/2014