LATARSHA MARIE PETTIS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049261990

License Status

NOT RENEWED

Business

First Name

LATARSHA

Middle

MARIE

Last Name

PETTIS

Business Name

LATARSHA MARIE PETTIS

Original Issue Date

12/10/2018

Effective Date

12/10/2018

Expiration Date

03/31/2019

City

CHICAGO

State

Zip

60621

County

COOK

Ever Disciplined

LastModifiedDate

07/15/2019