JOHNETTA C LATHAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255419

License Status

NOT RENEWED

Business

First Name

JOHNETTA

Middle

Last Name

LATHAN

Business Name

JOHNETTA C LATHAN

Original Issue Date

01/09/2018

Effective Date

01/09/2018

Expiration Date

03/31/2019

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

07/15/2019