MIRANDA JO WHITLATCH Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049238804

License Status

NOT RENEWED

Business

First Name

MIRANDA

Middle

Last Name

WHITLATCH

Prefix

Business Name

MIRANDA JO WHITLATCH

Original Issue Date

01/10/2016

Effective Date

01/10/2016

Expiration Date

03/31/2017

City

HANNA CITY

State

Zip

61536

County

PEORIA

Ever Disciplined

LastModifiedDate

05/10/2017