VANESSA LATRICE LASALLE Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049255879

License Status

NOT RENEWED

Business

First Name

VANESSA

Middle

LATRICE

Last Name

LASALLE

Business Name

VANESSA LATRICE LASALLE

Original Issue Date

01/31/2018

Effective Date

01/31/2018

Expiration Date

03/31/2019

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/15/2019