LATARA TRACY STEVENS - Pharmacist License in Illinois | # 049256881

LATARA TRACY STEVENS

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049256881

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

07/15/2019