LATARA TRACY STEVENS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256881

License Status

NOT RENEWED

Business

First Name

LATARA

Middle

TRACY

Last Name

STEVENS

Business Name

LATARA TRACY STEVENS

Original Issue Date

03/20/2018

Effective Date

03/20/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60624

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019