KASSANDRA GWENDOLYN LATNER Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049251926

License Status

NOT RENEWED

Business

First Name

KASSANDRA

Middle

GWENDOLYN

Last Name

LATNER

Business Name

KASSANDRA GWENDOLYN LATNER

Original Issue Date

07/18/2017

Effective Date

03/21/2018

Expiration Date

03/31/2019

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Ever Disciplined

LastModifiedDate

07/15/2019