SAMANTHA ALEXIS LATZ Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049263586

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

ALEXIS

Last Name

LATZ

Business Name

SAMANTHA ALEXIS LATZ

Original Issue Date

02/25/2019

Effective Date

10/28/2021

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

07/27/2022