NICHOLE ANDREA LATHAN - Pharmacist License in Illinois | # 049221284

NICHOLE ANDREA LATHAN

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221284

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/11/2015