NICHOLE ANDREA LATHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221284

License Status

NOT RENEWED

Business

First Name

NICHOLE

Middle

ANDREA

Last Name

LATHAN

Business Name

NICHOLE ANDREA LATHAN

Original Issue Date

10/07/2013

Effective Date

04/02/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60655

County

COOK

Ever Disciplined

LastModifiedDate

05/11/2015