LATISA KAYETTA CONRAD Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049221651

License Status

NOT RENEWED

Business

First Name

LATISA

Middle

KAYETTA

Last Name

CONRAD

Business Name

LATISA KAYETTA CONRAD

Original Issue Date

10/29/2013

Effective Date

02/14/2014

Expiration Date

03/31/2015

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

06/27/2022